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Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
secondary to Systemic Diseases ... Iron deficiency anemia ... Medications • Wilson's ... discoloration) • Liver cirrhosis ... #dermatology #Differential
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... - Wilson disease ... Venoocclusive disease ... #Diagnosis #Differential
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Liver Enzymes - Differential ... Autoimmune • Wilson's ... • Cholestatic disease ... Infiltrative • Cirrhosis ... #LiverEnzymes #Differential
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Liver and Biliary Diseases ... Kayser-Fleischer rings in Wilson's ... disease 3) Chest ... Edema #biliary #physicalexam ... #cirrhosis #liver
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Hepatomegaly - Differential ... Hemochromatosis • Wilson's ... Disease • Amyloidosis ... Primary Biliary Cirrhosis ... #Hepatomegaly #Differential
Hemolysis - Differential Diagnosis Framework

1) Environment
  - Fragmentation
  - MAHA: TTP, HUS, DIC, HELLP
Hemolysis - Differential ... , Drugs, Liver Disease ... Defects: Sickle cell anemia ... Electrolytes: Wilson's ... disease, Hypophostphatemia
Causes of Anemia in Cirrhosis - Differential Diagnosis Framework
LOW RETIC INDEX - ↓ PRODUCTION
 • Vitamin
in Cirrhosis - ... Differential Diagnosis ... Hemolysis related to Wilson's ... disease, DIC-low ... #Cirrhosis #Differential
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Pulse Pressure - Differential ... iron deficiency anemia ... viscosity) - anemia ... Beriberi - Cirrhosis ... Chronic pulmonary diseases
High Output Heart Failure - Pathophysiology and Differential Diagnosis
Obesity - Systemic Vasodilation, Vasoactive Adipokines
Arteriovenous Fistula -
Pathophysiology and Differential ... Acquired (e.g., iHD) Cirrhosis ... Vasodilation Paget's Disease ... Vasodilation Lung Disease ... Metabolism Severe Anemia
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
Microangiopathic hemolytic anemia ... Hypersplenism, Wilson's ... disease, Copper ... Extravascular #Causes #differential ... diagnosis #hematology #anemia