58 results
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 • Fever, acute onset RUQ pain,
, acute onset RUQ ... Supportive with treatment ... • Acute onset RUQ ... , RUQ pain rapidly ... Hepatobiliary #hepatology
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ ... abdominal pain. ... anterior to the liver ... POCUS #clinical #ultrasound ... #Abdominal
Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from
viscous displaces liver ... pressure over RUQ ... visualization of the liver ... perforation #POCUS #Abdominal ... #clinical #ultrasound
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Obtain RUQ US to ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... gastroenterology #hepatology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... Red Flags: • Fever ... genitourinary causes ... RUQ: • Biliary ... Epigastric/LUQ
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... to cirrhosis, Abdominal ... Cirrhosis, Polycystic liver ... differential #diagnosis #causes ... #hepatology
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... Highest • Bone • Liver ... Intestine - Other causes ... symptoms - Pain -> RUQ ... Diagnosis #Algorithm #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... = nonspecific (nausea ... , vomiting, abdominal ... Antithrombin Ill • Ultrasound ... #Pregnancy #hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... ileus), intra-abdominal ... variety of other causes ... portal #venousgas #ultrasound ... #hepatology #liver
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
RUSH exam for fever ... notice this in RUQ ... Answer: Large intra-abdominal ... Abscess #POCUS #ultrasound