18 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 ... Flapping tremor (hepatic ... : Loss of body hair ... fluid, Dilated abdominal
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... in the hepatic ... ileus), intra-abdominal ... #hepatology #liver ... #air
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... #Clinical #POCUS ... #Abdominal #Ultrasound
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... • Infiltrative diseases ... sarcoidosis) • Liver ... pregnancy • Primary biliary ... Veno-occlusive disease
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Differential Diagnosis Algorithm ... Hypertension - Hepatic ... • Infiltrative disease ... • Acute liver ... failure • Primary biliary
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Oddi, Trauma • Portal ... Inflammatory bowel disease ... • Parenchymal: Hepatic ... Intrahepatic #Gas #Air ... #Portal #Causes
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Differential Diagnosis Algorithm ... Injury: • Hepatic ... • Hepatic artery ... Extrahepatic - Biliary ... differential #diagnosis #algorithm
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical ... #hepatic
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... recommended, but IR ... #Abscess #Hepatic ... #POCUS #Clinical ... #Ultrasound #Abdominal
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... • Drugs • AIH ... • Cholestatic disease ... US — Normal Bile ... Duct Stone • Biliary