81 results
"Liver palms"
Palmar erythema 

#clinical #diagnosis #PhysicalExam 
#hands #liver #hepatology #cirrosis
#photo
"Liver palms" Palmar ... erythema #clinical ... PhysicalExam #hands #liver ... #hepatology #cirrosis ... #photo
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... months without treatment ... disease, liver ... support, or liver
Histologic Features and Prevalence of Nonalcoholic Steatohepatitis (NASH). NASH is a potentially progressive type of nonalcoholic
nonalcoholic fatty liver ... features of NASH in liver-biopsy ... distribution of NASH, cirrhosis ... , and primary liver ... HCC #Prevalence #NEJM
Cirrhosis leading to Chronic Liver Failure - Clinical Signs and Symptoms

#Cirrhosis #LiverFailure #Signs #Symptoms #PhysicalExam #Findings
Cirrhosis leading ... to Chronic Liver ... Failure - Clinical ... and Symptoms #Cirrhosis
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
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Portosystemic Shunt • Liver ... DeanEhrlich_MD #inpatient #Cirrhosis ... #diagnosis #treatment
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
Decompensated cirrhosis ... or acute liver ... #PhysicalExam #clinical
Spur-Cell Anemia- A 31-year-old man with a history of cirrhosis, recurrent hepatic encephalopathy, and anemia presented
with a history of cirrhosis ... decompensated cirrhosis ... definitively treated by liver ... candidate for liver ... #NEJM #clinical
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... Clues to non-cirrhotic ... sarcoidosis) • Liver ... metastasis • Fatty liver ... Primary biliary cirrhosis
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Family history of cirrhosis ... or fibrosis • Cirrhosis ... infection with severe liver ... mg/dL) or acute liver