13 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... and Biliary Diseases ... #physicalexam #cirrhosis ... #liver #disease ... #signs #diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Cirrhosis - Diagnosis ... quadrant discomfort Signs ... Liver biopsy findings ... #PBC #Primary #Biliary
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
significant portal HTN Signs ... obstruction) • Lack of signs ... sarcoidosis) • Liver ... metastasis • Fatty liver ... pregnancy • Primary biliary
Terry's Nails

Proximal paleness extending halfway up the nail, often eliminating the lunula. Darker distal band. Seen
advanced age, liver ... disease/cirrhosis ... PhysicalExam #Clinical #Photo ... #Sign
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... Cirrhosis (PBC) ... /Liver failure ... PBC Signs and ... or higher • Liver
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... progression to end-stage liver ... indications for liver ... and end-stage liver ... disease management
Gray-Turner Sign after Liver Biopsy
50 y/o woman with new cirrhosis now s/p liver biopsy.
Gray-Turner sign classically
after Liver Biopsy ... woman with new cirrhosis ... now s/p liver biopsy ... from percutaneous liver ... Flank #clinical #photo
Falciform Ligament Sign - An abdominal radiograph that was obtained with the patient in a supine
Falciform Ligament Sign ... a radiographic sign ... ligament connects the liver ... arrow) #Clinical #Radiology ... Pneumoperitoneum #CT #KUB #NEJM
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
or PEG-J) - Cirrhosis ... mediastinal cysts - Biliary ... - Patient s/p liver ... GI tract) - Biliary ... Gastroenterology #Management
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
year history of biliary ... cirrhosis due to ... (25.1 mmol per liter ... #NEJM #clincal # ... photo #xanthoma