33 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... and Biliary Diseases ... erythema 2) Face: Jaundice ... Xanthelasma and jaundiced ... : Loss of body hair
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
Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from
of clip, free air ... viscous displaces liver ... visualization of the liver ... Abdominal #clinical #ultrasound ... #Air
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 ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound ... Clinical #Transverse #Biliary
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... discomfort Signs: Jaundice ... Liver biopsy findings ... #PBC #Primary #Biliary
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Notice the portal air ... on ultrasound, ... reverb in liver ... #Venous #Gas #Air ... POCUS #Abdominal #Ultrasound
Clinical Diagnosis of Autoimmune Hepatitis
 - Onset of jaundice within prior 8 weeks
 - Ongoing consumption
Hepatitis - Onset of jaundice ... before the onset of jaundice ... ) or metabolic liver ... Possible drug-induced liver ... Diagnosis #Hepatology #AIH
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... cholestasis → Cirrhosis/Liver ... hyperpigmentation • Jaundice ... No extrahepatic biliary ... or higher • Liver
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Viral, Ischemia, AIH ... - Viral, AIH ... Alcohol, Viral, HH, AIH ... - CBD stone, Biliary
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... (DIC, ascites, jaundice ... Antithrombin Ill • Ultrasound