10 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... Ascites, Palpable gallbladder ... physicalexam #cirrhosis #liver ... #disease #signs
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Obstructive pattern on hepatic ... compression of biliary ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound ... #Gallstone #Clinical
Simple Liver Cyst on RUQ POCUS

Epigastric pain after a meal, so a RUQ POCUS was performed.
Simple Liver Cyst ... Gallbladder was ... just a simple liver ... #Hepatic #clinical ... #ultrasound
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... sarcoidosis) • Liver ... metastasis • Fatty liver ... pregnancy • Primary biliary ... Veno-occlusive disease
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
enterocolitis (NEC ... infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
progression to end-stage liver ... indications for liver ... colorectal and hepato-biliary ... carcinoma, and gallbladder ... and end-stage liver
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... derangement of liver ... symptoms/signs ... include extrahepatic biliary ... mellitus; USS, ultrasound
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Peritoneal Stripe Sign ... anteriorly over the RUQ ... peritoneum and liver ... #POCUS #EPSS #clinical ... #ultrasound #radiology
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Rupture on Positive RUQ ... presence of free air ... for sonographic signs ... Abdominal #POCUS #clinical ... #ultrasound #Liver
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... tends to have air ... centrally within liver ... Calcifications #POCUS #clinical ... #ultrasound #RUQ