23 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
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
in case of Pneumonia ... healthy pt with fever ... interstitial lung disease ... partially seen shred sign ... POCUS #clinical #ultrasound
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... pleura in severe cases ... - Dynamic air ... Cardiogenic Pulmonary Edema ... #Lung #POCUS #ultrasound
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
The most common cause ... Look for other signs ... flow, Kerley B-lines ... chronic heart disease ... #Diagnosis #Radiology
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
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
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
synthesized in: liver ... Malnutrition • Wilson's disease ... Low phosphorus level ... collection with EDTA Pathophysiology ... Phosphatase: • Other causes