10 results
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
collaterals in Cirrhosis ... blood flow in caput ... #medusae #clinical ... #video #physicalexam ... #cirrhosis #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
Venous Flow of Caput ... In this case the ... Milking #abdominal #clinical ... #veins #cirrhosis ... #hepatology
Milking abdominal veins - Demonstrating centrifugal blood flow in caput medusae

#Milking #abdominal #veins #caput #medusae #clinical
blood flow in caput ... abdominal #veins #caput ... #medusae #clinical ... #video #physicalexam ... #cirrhosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... to non-cirrhotic ... #Hypertension #Differential ... #hepatology
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... purple, hemorrhagic skin ... deficiencies - PNH ... Vasculopathy #Purpura #Differential ... #Diagnosis #hematology
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary Cirrhosis ... intralobular bile ducts causes ... Examination: • Skin ... bile ducts Differential ... diagnosis #workup #hepatology
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
Arterial Thrombosis - Differential ... Testosterone - Coumadin skin ... coagulation and other causes ... pathophysiology #hematology ... #differential #
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Lacrimal swelling • Skin ... Hypocomplementemia • Can cause ... salivary ducts Clinical ... primary biliary cirrhosis ... Nephrogenic DI Hematologic
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
gammopathy, and skin ... Liver disease: Cirrhosis ... gastric tumors • Hematology ... Gap #ProteinGap #differential ... #diagnosis #hematology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
noncompliance • Clinical ... initiation Clinical ... cavitating pneumonia, skin ... progression of cirrhosis ... Leishmaniasis Differential