177 results
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
benign recurrent intrahepatic ... some cases of intrahepatic ... Dysfunction - Biliary ... certain drugs, biliary ... , carcinoma of biliary
Intrahepatic Biliary Dilatation on POCUS

Dr. Robert Jones @RJonesSonoEM

#Intrahepatic #Biliary #Dilatation #dilated #POCUS #clinical #RUQ #ultrasound
Intrahepatic Biliary ... RJonesSonoEM #Intrahepatic ... #Biliary #Dilatation
Mechanism of Action of Bile Acid Sequestrants
Bile Acid Sequestrants → ↓ Hepatic Bile Acid Pool →
Cholesterol → ↓ Intrahepatic ... Plasma LDL-C #biliary
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Biliary colic 2. ... Intrahepatic stones
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Non-Iatrogenic: • Biliary ... cholangitis, Enteric-biliary ... : Recent biliary ... Embolization #Intrahepatic
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
hepatitis, Acute biliary ... Cholestatic - Intrahepatic ... Cholestatic - Extrahepatic ... • Biliary: Choledocholithiasis
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
common symptoms of Intrahepatic ... Drugs - Primary biliary ... PSC - Other biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... Diagnosis: • No extrahepatic ... biliary obstruction ... hepatitis, TPN, Intrahepatic ... malignancy #Primary #Biliary
Liver Function Tests (LFTs) - Normal Values and Interpretation

Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
(GGT) - Liver, biliary ... Conjugated/DBili) - Biliary ... obstruction, intrahepatic
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Liver Injury: • Extrahepatic ... - Biliary: Choledocholithiasis ... , Biliary Stricture ... Choledochal cyst • Intrahepatic ... - Obstruction: Biliary