46 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 ... Xanthelasma and jaundiced ... #physicalexam #cirrhosis ... #liver #disease
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... discomfort Signs: Jaundice ... Liver biopsy findings ... #PBC #Primary #Biliary
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Clues to non-cirrhotic ... estrogen such as ... sarcoidosis) • Liver ... metastasis • Fatty liver ... pregnancy • Primary biliary
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... /Liver failure ... hyperpigmentation • Jaundice ... on but elevated as ... or higher • Liver
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
hepatic panel with normal ... of biliary tree ... RUQ pain, fever, jaundice ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... Post-Hepatic - Usually has ... Dilatation on Ultrasound ... Gallstones • Biliary ... Cholangitis #Jaundice
Portal Venous Gas on Point of Care Ultrasound (POCUS)

Dr. Philippe Rola @ThinkingCC

#Portal #VenousGas #Ultrasound #POCUS #Clinical
Portal Venous Gas ... Point of Care Ultrasound ... ThinkingCC #Portal ... #VenousGas #Ultrasound ... POCUS #Clinical #Liver
Portal Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and
Portal Venous Gas ... on Ultrasound ... venous gas. ... #VenousGas #Ultrasound ... #Liver #POCUS #
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Diagnosis Algorithm Portal ... Prehepatic: • Portal ... - Hepatic: • Cirrhosis ... disease • Acute liver ... failure • Primary biliary
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Portal Venous Gas ... vein gas! ... procedures - Arizona Ultrasound ... VenousGas #POCUS #Liver ... #Ultrasound #Clinical