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Clinical Examination for Liver and Biliary Diseases 1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Flapping tremor (hepatic ... erythema 2) Face: Jaundice ... Xanthelasma and jaundiced ... #signs #diagnosis
Approach to Neonatal Jaundice Causes of pathologic hyperbilirubinemia can be classified as due to (1) increased bilirubin
Approach to Neonatal Jaundice ... load (i.e., pre-hepatic ... #Diagnosis #Peds ... Pediatrics #Neonatal #Jaundice ... #Differential #Workup
Management and Complications of Cirrhosis and Ascites Ascites Workup Algorithm Ascites Management Refractory Ascites Hyponatremia Spontaneous Bacterial Peritonitis (SBP) Hepatic Hydrothorax AKI in
Ascites Ascites Workup ... Peritonitis (SBP) Hepatic ... Complications #diagnosis ... #management #gastroenterology
Hepatobiliary Manifestations of Sickle Cell Disease Acute sickle cell hepatic crisis: • Fever, acute onset RUQ pain,
of Sickle Cell Disease ... Acute sickle cell hepatic ... onset RUQ pain, jaundice ... crisis Acute Hepatic ... #differential #diagnosis
Classification of Jaundice Unconjugated hyperbilirubinemia (predominantly indirect bilirubin) • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
Classification of Jaundice ... , hepatitis, hepatic ... postoperative jaundice ... neoplasms #Jaundice ... Classification #diagnosis
Upper GI Bleed - Management Algorithm Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR Initial Stabilization Concern for
Concern for Liver Disease ... Consult GI ± EGD ... • Peptic Ulcer Disease ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
Portal Hypertension Classification by site of vascular obstruction 1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome 2) Intrahepatic Post-sinusoidal: Veno-occlusive disease 3)
obstruction 1) Post-hepatic ... Veno-occlusive disease ... Schistosomiasis, Congenital hepatic ... Classification #gastroenterology ... #diagnosis #differential
Liver Flukes on ERCP Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
flukes (Fasciola hepatica ... ERCP #Fasciola #hepatica ... #parasites #clinical ... #EGD #ERCP #gastroenterology
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 Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
Liver Disease in ... weeks • Typical clinical ... Pruritus, Mild jaundice ... BrighamChiefs #Liver #Disease ... #differential #diagnosis
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
End Stage Liver ... Disease (Cirrhosis ... Esophageal Varices • Hepatic ... Complications #diagnosis
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