9 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 ... Diseases 1) Hands ... Wilson's disease 3) ... , Palpable gallbladder
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... > 1.1 g/dL) 1. ... Liver disease ... of pregnancy 3. ... #differential #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... auscultatory percussion, abdominal ... concentration (bowel or biliary ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... pregnancy • Primary biliary ... #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... , vomiting, abdominal ... develops (DIC, ascites ... #Pregnancy #hepatology ... #obstetrics #obgyn
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... Pearls: #1 Confirm ... at the bedside #3 ... #clinical #obgyn
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... criteria: 1 ... and no apparent focus ... Intense abdominal ... accumulation (ascites
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
a triad of: 1) ... dilatation & 3) ... arteriovenous shunting causes ... of orthodeoxia CLINICAL ... cirrhosis: jaundice, ascites
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
/50 Rule (part 1) ... and second ribs.1 ... was placed on 3 ... consider intra-abdominal ... bleeding often from a liver