51 results
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... an occult intra‐abdominal ... & abdominal pain ... & antibiotic treatment ... cornerstones of treatment
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... abscess was recommended ... #Abscess #Hepatic ... POCUS #Clinical #Ultrasound ... #Abdominal
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... Cirrhosis with fever ... Diverticular abscess ... Peritonitis #SBP #Abdominal ... POCUS #clinical #ultrasound
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Non-Malignant • Fatty Liver ... • Budd-Chiari Syndrome ... Cholangitis • Abscess ... Algorithm #Causes #Hepatology
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
Intraabdominal Abscess ... RUSH exam for fever ... Answer: Large intra-abdominal ... abscess. ... #POCUS #ultrasound
Causes of Acute Onset Fever - Differential Diagnosis Algorithm
Viral:
 • Rhinovirus
 • Influenza Virus
 • Parainfluenza
of Acute Onset Fever ... Skin Infection Abscess ... • Thoracic • Abdominal ... Neuroleptic malignant syndrome ... #Fever #Acute
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
to cirrhosis, Abdominal ... Cirrhosis, Polycystic liver ... post-sinusoidal: Budd-Chiari syndrome ... diagnosis #causes #hepatology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Red Flags: • Fever ... • Budd-Chiari syndrome ... • Splenomegaly/Abscess ... Irritable bowel syndrome ... artery compression syndrome
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... #Pregnancy #hepatology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation Syndrome ... syndromes Clinical ... ALT ↑ bilirubin level ... Treatment: • Corticosteroids ... Diagnosis #Management #Hematology