37 results
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 ... pain, fever, jaundice ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound ... Clinical #Transverse #Biliary
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 ... Bruising, Edema #biliary
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 • Fever, acute onset RUQ pain,
Fever, acute onset RUQ ... pain, jaundice ... • Acute onset RUQ ... progressing to acute liver ... Liver transplant
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Quadrant Pain Liver ... viral hepatitis, Liver ... Budd-Chiari syndrome Biliary ... "biliary colic") ... Subdiaphragmatic abscess #RUQ
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
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... Highest • Bone • Liver ... symptoms - Pain -> RUQ ... Drugs - Primary biliary ... PSC - Other 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
Liver Abscess on POCUS Ultrasound

Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... POCUS Ultrasound ... Fever and RUQ ... sure to sweep the liver ... with spontaneous liver
Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from
viscous displaces liver ... pressure over RUQ ... visualization of the liver ... Abdominal #clinical #ultrasound
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ ... Male with severe RUQ ... anterior to the liver ... duodenal #ulcer #RUQ ... POCUS #clinical #ultrasound