12 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
erythema 2) Face: Jaundice ... Xanthelasma and jaundiced ... Aspiration of ascitic ... Splenornegaly, Ascites ... #physicalexam #cirrhosis
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... liver disease (cirrhosis ... failure - 3-5% Cirrhosis ... Fitz-Hugh-Curtis syndrome), HIV-related ... Chylous <1% #Ascites
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with ... POCUS for win. ... SBP #Abdominal #POCUS ... Pneumoperitoneum #Complex #Ascites
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... disease - Cirrhosis ... - Bile ascites ... - Urine ascites ... peritonitis - HIV-associated
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
calling a consult HPI ... Important findings: jaundice ... different) PMHx: - Focus ... Gl History - Cirrhosis
Floppy Diaphragm, Ascites, Complex Pleural Effusion and Spine Sign on POCUS in Cirrhosis

#Ascites #Pleural #Effusion #SpineSign
Floppy Diaphragm, Ascites ... Spine Sign on POCUS ... in Cirrhosis ... #Ascites #Pleural ... #Cirrhosis #clinical
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... Abdominal Ultrasound - POCUS ... jchristianfox #Cirrhosis ... Gallbladder #Gallstone #Ascites ... #Ultrasound #POCUS
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... has history of cirrhosis ... and prior ascites ... #Perforation #POCUS
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... on POCUS 62 yo ... colectomy, liver cirrhosis ... POCUS performed ... #POCUS #SBP #clinical
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of treatment of HIV ... • 10-20% of HIV-infected ... a decrease in HIV ... progression of cirrhosis ... loss, nausea, jaundice