11 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Flapping tremor (hepatic ... fluid, Dilated abdominal ... , Palpable gallbladder ... , Hepatic bruit
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... #Cirrhosis #Liver ... #Ascites #Ultrasound ... #POCUS #Clinical ... #Abdominal
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... Diverticular abscess ... #POCUS #clinical ... #ultrasound #Gas ... Pneumoperitoneum #Complex #Ascites
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... abscess was recommended ... #Abscess #Hepatic ... #POCUS #Clinical ... #Ultrasound #Abdominal
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... ultrasound: A concerning ... reflection on the differential ... ileus), intra-abdominal ... #hepatology #liver
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... of portal HTN: ascites ... portal HTN: • Ascites ... Diagnosis #causes #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... #Pregnancy #hepatology
Gallbladder Sludge ball on POCUS
Can mimic GB mass. Assess mobility & vascularity to differentiate.

Dr. Mohammed Alshamsi
Gallbladder Sludge ... Assess mobility ... vascularity to differentiate ... #ultrasound #RUQ ... #clinical #abdominal
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Chronic Abdominal ... Quadrant: • Peptic ... Gastric cancer • Liver ... splenomegaly, abscess ... location/diffuse: • Ascites
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... through: - Hepatic ... sources within abdominal ... children #peds #differential ... #diagnosis #hepatology