12 results
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
though there are no signs ... or symptoms. ... blood vessels, liver ... #syphilis #clinical ... #photo
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... significant portal HTN Signs ... obstruction) • Lack of signs ... sarcoidosis) • Liver ... metastasis • Fatty liver
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
though there are no signs ... or symptoms. ... blood vessels, liver ... #syphilis #clinical ... #photo
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Peritoneal Stripe Sign ... anteriorly over the RUQ ... peritoneal stripe sign ... peritoneum and liver ... #EPSS #clinical
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Rupture on Positive RUQ ... for sonographic signs ... Positive #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... tends to have air ... centrally within liver ... #clinical #ultrasound ... #RUQ
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
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
• Intermittent tertian ... Non-Infectious Causes ... Endocarditis • Hepatic ... Brucellosis Faget's Sign ... Brucellosis • Liver
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Coltivirus Symptoms ... • Common clinical ... • In tertiary ... influenzae Symptoms ... Acute meningeal signs