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Mobile Cardiac Thrombus on POCUS Echocardiogram

Pinball!
- Dr. Alexandre Aby Azar @alexandre_aby

#Intracardiac #Thrombus #Mobile #Pinball #Clinical #POCUS
Mobile Cardiac Thrombus ... Echocardiogram Pinball ... Intracardiac #Thrombus #Mobile ... #Pinball #Clinical
Mobile "Pinball" Cardiac Thrombus on POCUS Echocardiogram

This cardiac thrombus seems to be having alot of fun.
Mobile "Pinball" ... theEMfellow #Pinball ... #Mobile #Thrombus
Mechanism of Action of Bile Acid Sequestrants
Bile Acid Sequestrants → ↓ Hepatic Bile Acid Pool →
Mechanism of Action of Bile ... Sequestrants Bile ... Sequestrants → ↓ Hepatic Bile ... Pool → ↑ Hepatic Bile ... Plasma LDL-C #biliary
Classification of Jaundice
Unconjugated hyperbilirubinemia (predominantly indirect bilirubin)
 • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
genes coding for bile ... Dysfunction - Biliary ... certain drugs, biliary ... , carcinoma of biliary ... external pressure on bile
Primary Biliary Cirrhosis - Pathophysiology
Environmental Risk Factors: Geographic location, Smoking, Microbial triggers, Xenobiotics, Nail polish
Epigentics Risk
Primary Biliary ... gradual loss of bile ... inflammation and biliary ... #PBC #Primary #Biliary
Snellen Chart for Mobile - Should be held at arm's length -  Note this has
Snellen Chart for Mobile ... Snellen #Eyechart #Mobile
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... small intralobular bile ... of intralobular bile ... No extrahepatic biliary ... malignancy #Primary #Biliary
Pulmonary Tuberculosis - Patterns of Involvement
 • Scarring, Nodules and Consolidation
    - Lobar
thickening • Miliary ... nodules representing miliary ... Cavitation, Abscess and Hilary
Indications for ERCP
1. Biliary Tract Diseases:
 • Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Biliary Tract Diseases ... : • Biliary obstruction ... Choledocholithiasis, Malignant biliary ... strictures, Benign biliary ... Oddi manometry • Bile
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
disease US — Normal Bile ... US - Dilated Bile ... Ducts • Common Bile ... Duct Stone • Biliary