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differential symptoms workup hypertension management pathophysiology abnormal cirrhosis diseases gastroenterology liver physicalexam radiology abdominal algorithm alkaline alp ascites atlas avascularnecrosis
Diseases of the Biliary Tract Asymptomatic gallstones - Asymptomatic Symptomatic gallstones - Biliary pain Cholesterolosis of gallbladder - Usually
fever, Murphy sign ... Chronic cholecystitis ... fever; gallstone pancreatitis ... #biliary #diseases ... #differential #diagnosis
Causes of Biliary Dilatation - Differential Diagnosis • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy •
Causes of Biliary ... cyst, Caroli's disease ... Inflammatory: Chronic ... pancreatitis, PSC ... #hepatology #gastroenterology
Clinical Examination for Liver and Biliary Diseases 1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... a patient with chronic ... Bruising, Edema #biliary ... #signs #diagnosis
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... RUQ: • Biliary ... • Functional biliary ... pancreatitis ... porphyria • Hypercalcemia
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... significant portal HTN Signs ... obstruction) • Lack of signs ... pregnancy • Primary biliary ... #causes #hepatology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
hypertension and signs ... 109 mm Hg) with clinical ... renal bruit or signs ... Vasculitis • Endocrinologic ... Renal parenchymal disease
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Primary Biliary ... intralobular bile ducts causes ... failure PBC Signs ... but elevated as disease ... #workup #hepatology
Causes of Hypocalcemia by Clinical Cause Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... by Clinical Cause ... Acute illness: pancreatitis ... levels Autoimmune disease ... #Diagnosis #Endocrinology
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 Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
dullness, puddle sign ... incisional). 3) Signs ... of underlying disease ... concentration (bowel or biliary ... #hepatology
Growth Hormone Excess - Pathogenesis and clinical findings • Acromegaly and gigantism share the same pathophysiology
Pathogenesis and clinical ... • Other rare causes ... Cardiovascular disease ... #signs #symptoms ... #endocrinology
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