17 results
Fasciola Hepatica Extraction on ERCP
Young female with obstructive jaundice.

Dr. Abdullah Delmany

#Fasciola #Hepatica #ERCP #gastroenterology #clinical #extraction
Fasciola Hepatica ... with obstructive jaundice ... #ERCP #gastroenterology ... #clinical #extraction ... #parasites
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
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
Causes of Splenomegaly - Differential Diagnosis Algorithm
Infectious
 • Bacterial
 • Viral (EBV)
 • Parasitic
 • Fungal
Congestive
- Differential Diagnosis ... Viral (EBV) • Parasitic ... Hepatic, Portal, ... Myeloproliferative disorders (eg ... #Differential #Diagnosis
Liver Flukes on Endoscopy
Here are liver flukes (Fasciola hepatica) extracted from the bile duct during ERCP
flukes (Fasciola hepatica ... ERCP #Fasciola #hepatica ... #parasites #clinical ... #EGD #Endoscopy ... #gastroenterology
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
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
hyperpigmentation • Jaundice ... but elevated as disease ... malignancies, Hepatic ... , IgG4 related disease ... #workup #hepatology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia 

== Disorders of Conjugation ==
Gilbert Syndrome:
 • 5-10% of the population
breastfeeding jaundice ... on clinical examination ... • Defect in hepatic ... bilirubin #hepatology #diagnosis ... #gastroenterology
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
accumulation of clinical ... Assessment • Clinical ... +++ (Plt, Hb), Hepatic ... salmonella, ...), Parasites ... • Autoimmune diseases
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
Hypertension - Workup ... and Differential Diagnosis ... 109 mm Hg) with clinical ... Renal parenchymal disease ... #Hypertension #Workup