11 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 ... fluid, Dilated abdominal ... disease #signs #diagnosis
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Differential Diagnosis ... Hypertension - Hepatic ... disease • Acute liver ... failure • Primary biliary ... • Sinusoidal obstruction
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... of portal HTN: ascites ... outflow obstruction ... pregnancy • Primary biliary
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... disease, Hepatic ... obstruction, Primary ... biliary cholangitis ... disorder (e.g. ascites
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Obstructive pattern ... on hepatic panel ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound ... #Gallstone #Clinical
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... ) Differential Diagnosis ... Maternal Support - Critical
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
fibrosis, and destruction ... intra- and extra-hepatic ... to multi-focal biliary ... colorectal and hepato-biliary ... remain subject to clinical
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Areas of diagnostic ... include extrahepatic biliary ... obstruction due ... mellitus; USS, ultrasound ... #Differential #Diagnosis
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Duct Stone on Biliary ... syndrome, a common hepatic ... duct obstruction ... #POCUS #ultrasound ... #abdominal #clinical
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Labs: WBC 12.4, obstructive ... pattern hepatic ... Diagnosed with cholangiocarcinoma ... Dilated #CBD #POCUS #ultrasound ... #clinical #biliary