16 results
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... HTN Signs of portal ... sarcoidosis) • Liver ... metastasis • Fatty liver ... pregnancy • Primary biliary
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... : Loss of body hair ... physicalexam #cirrhosis #liver ... #disease #signs
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... peripheral tracking of air ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver ... #differential #
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Obstructive pattern on hepatic ... panel with normal ... Mirizzi #Syndrome #Liver ... #Gallstone #Clinical
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Hemolysis, Elevated Liver ... features: Liver ... BrighamChiefs #Liver ... #differential #
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
cholestasis → Cirrhosis/Liver ... failure PBC Signs ... and Symptoms: ... or higher • Liver ... malignancies, Hepatic
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Portal is Peripheral ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical ... #hepatic
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... derangement of liver ... symptoms/signs ... include extrahepatic biliary ... #Enzymes #Differential