10 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... : Loss of body hair ... Legs: Bruising, Edema ... physicalexam #cirrhosis #liver ... #disease #signs
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
65 years PBC Pathophysiology ... intralobular bile ducts causes ... cholestasis → Cirrhosis/Liver ... failure PBC Signs ... or higher • Liver
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Framework NCPE Pathophysiology ... Causes include: ... acute cardiac disease ... • BNP level < ... differential #diagnosis #cardiology
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... healthy pt with fever ... interstitial lung disease ... partially seen shred sign ... POCUS #clinical #ultrasound
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
blue-purple) rash with edema ... chest (in a V-sign ... severity of the disease ... and ILD • Liver ... Liver biopsies show
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Peritoneal Stripe Sign ... peritoneal stripe sign ... peritoneum and liver ... EPSS #clinical #ultrasound ... #radiology
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Inflammatory bowel disease ... Hepatic infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... radiation dose Ultrasound ... retroperitoneal disease ... diverticulae). degree and level ... stones #calculus #Radiology
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
disorder of chronic liver ... : 1) chronic liver ... DIAGNOSIS - TRIAD: • Liver ... the severity of liver ... supplemental oxygen • Liver
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... bleeding often from a liver ... Most commonly caused ... #Radiology #CTChest