70 results
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ ... POCUS Male with ... anterior to the liver ... Robert Jones @RJonesSonoEM ... #POCUS #clinical
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 • Fever, acute onset RUQ pain,
Fever, acute onset RUQ ... • Acute onset RUQ ... progressing to acute liver ... Liver transplant ... Hepatobiliary #hepatology
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
disturbance (obstructed liver ... - Highest • Bone ... • Liver (80%) ... symptoms - Pain -> RUQ ... Diagnosis #Algorithm #hepatology
Liver Abscess on POCUS Ultrasound

Fever and RUQ pain/tenderness isn't always chole. In this patient population make
Liver Abscess on ... POCUS Ultrasound ... Fever and RUQ ... This #POCUS has ... eabramsMD #Clinical #POCUS
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 ... Robert Jones @RJonesSonoEM ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound
Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from
perforation on POCUS ... viscous displaces liver ... pressure over RUQ ... visualization of the liver ... #perforation #POCUS
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Obtain RUQ US to ... MRCP, ERCP, liver ... gastroenterology #hepatology
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... different) PMHx: - Focus ... on prior Liver/ ... US - Prior liver ... Calling #Referral #Hepatology
Liver Function Tests (LFTs) - Normal Values and Interpretation

Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
Liver Function Tests ... , bone, placenta ... brain, NOT in bone ... pancreas, NOT in bone ... Interpretation #diagnosis #hepatology
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
Liver Function Test ... specific for the liver ... abnormality vs bone ... SinaiBmoreIMRes #Liver ... Transaminitis #diagnosis #hepatology