26 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
for Liver and Biliary ... erythema 2) Face: Jaundice ... Xanthelasma and jaundiced ... Bruising, Edema #biliary ... liver #disease #signs
Diseases of the Biliary Tract
Asymptomatic gallstones - Asymptomatic
Symptomatic gallstones - Biliary pain
Cholesterolosis of gallbladder - Usually
Diseases of the Biliary ... fever, Murphy sign ... cholecystitis - Biliary ... Asymptomatic or biliary ... pain, jaundice,
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... @Pocus101 #DSign ... #Ultrasound #echocardiogram
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... Dilatation on Ultrasound ... Biliary Duct Compression ... Gallstones • Biliary ... Cholangitis #Jaundice
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... quadrant discomfort Signs ... : Jaundice, Xanthelasmata ... #PBC #Primary #Biliary
Courvoisier Sign or Courvoisier-Terrier Sign

States that in a patient with painless jaundice & an enlarged gallbladder
Courvoisier Sign ... Courvoisier-Terrier Sign ... with painless jaundice ... pancreatic or biliary ... Courvoisier #Terrier #Sign
Clinical Signs of Pancreatic Cancer
Jaundice
Cachexia
Depression
Vomiting from duodenal obstruction
Lymphadenopathy
Palpable gallbladder (Courvoisier's sign)
Hepatomegaly (extrahepatic biliary obstruction/secondary deposits)
Scratch marks
Clinical Signs of ... Pancreatic Cancer Jaundice ... (Courvoisier's sign ... (extrahepatic biliary ... marks (obstructive jaundice
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
compression of biliary ... RUQ pain, fever, jaundice ... #Liver #POCUS #Ultrasound ... Clinical #Transverse #Biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... failure PBC Signs ... hyperpigmentation • Jaundice ... No extrahepatic biliary ... malignancy #Primary #Biliary
The RAC sign = retroaortic coronary artery 

Dr. Kazi Ferdous @fazalabul

#RAC #sign #retroaortic #coronary #artery #clinical
The RAC sign = retroaortic ... fazalabul #RAC #sign ... artery #clinical #ultrasound ... cardiology #POCUS #echocardiogram