53 results
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
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
Jaundice - Differential ... Diagnosis Algorithm ... Cholangiocarcinoma • Primary ... Cholangitis #Jaundice ... #Differential #Diagnosis
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 ... disease #signs #diagnosis
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
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
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
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... hyperpigmentation • Jaundice ... malignancies, Hepatic ... malignancy #Primary ... #workup #hepatology
Fasciola Hepatica Extraction on ERCP
Young female with obstructive jaundice.

Dr. Abdullah Delmany

#Fasciola #Hepatica #ERCP #gastroenterology #clinical #extraction
Fasciola Hepatica ... with obstructive jaundice ... Delmany #Fasciola #Hepatica ... #ERCP #gastroenterology ... #clinical #extraction
Hypercalcemia Evaluation
1) Clinical clues
 - Is the patient symptomatic?
 - Family history?
 - Have you done
Evaluation 1) Clinical ... → Primary hyperapara ... → Primary hyperpara ... Hypercalcemia #workup ... #differential #diagnosis
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
Liver Consult Primer ... Important findings: jaundice ... liver disease work ... Consultation #GIConsult #Primer ... Referral #Hepatology #Gastroenterology