15 results
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 • Fever, acute onset RUQ pain,
Fever, acute onset RUQ ... • Acute onset RUQ ... Supportive with blood ... cholestasis: • Fever, RUQ ... Hepatobiliary #hepatology
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Mirizzi Syndrome on RUQ ... POCUS Adult ... male-RUQ abd pain.VSS ... can present with RUQ ... Mirizzi #Syndrome #Liver
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... Highest • Bone • Liver ... symptoms - Pain -> RUQ ... PSC - Other biliary ... Diagnosis #Algorithm #hepatology
Acute Appendicitis on POCUS

A linear transducer is over anterior RLQ.  Noncompressible fluid-filled structure >6mm +
Appendicitis on POCUS ... over anterior RLQ ... structure >6mm + hot fat ... #Appendicitis #POCUS ... ultrasound #abdominal #labeled
Liver Function Tests (LFTs) - Normal Values and Interpretation

Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
aminotransferase (AST ... , biliary epithelium ... brain, heart, blood ... Conjugated/DBili) - Biliary ... Interpretation #diagnosis #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Extrahepatic - Biliary ... Choledocholithiasis, Biliary ... - Obstruction: Biliary ... intestines, white blood ... diagnosis #algorithm #hepatology
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Rupture on Positive RUQ ... FAST Exam Bike ... Gastric #Rupture #RUQ ... #Abdominal #POCUS ... clinical #ultrasound #Liver
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
blood tests. ... blood tests, synthetic ... include extrahepatic biliary ... disease; AST, aspartate ... Abnormal #Algorithm #Hepatology
Positive FAST exam at the caudal liver edge

Ultrasound isn't as sensitive for solid organ injury, but
Positive FAST exam ... POCUS is not sensitive ... Upper Quadrant (RUQ ... Free Fluid on the FAST ... trauma #clinical #POCUS
Ruptured Hepatic Hyatid Cyst on RUQ Ultrasound

52-yo female with hypotension after blunt abdominal trauma from fall
Hyatid Cyst on RUQ ... FAST exam-small ... FF in RUQ with mass ... Hepatic #HyatidCyst #RUQ ... #Abdominal #POCUS