445 results
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Normal veins: Umbilicus ... respecting the umbilical ... • IVC Obstruction ... • SVC Obstruction ... #physicalexam #diagnosis
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Mechanical Bowel Obstruction ... presents with acute ... Incomplete obstructions ... present with either acute ... #sbo #ileus #pathophysiology
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Vasculitis -> Acute ... - Budd Chiari Syndrome ... Intestinal Pseudo-Obstruction ... Complications #pathophysiology ... signs #symptoms #diagnosis
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Acute Kidney Injury ... Hepatic sinusoidal obstructive ... bladder outlet obstruction ... cyclophosphamide) #Acute ... #Differential #Diagnosis
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
site of venous obstruction ... and below the umbilicus ... AWAY from the umbilicus ... - IVC obstruction ... #Milking #SVC #syndrome
Clinical Signs of Pancreatic Cancer
Jaundice
Cachexia
Depression
Vomiting from duodenal obstruction
Lymphadenopathy
Palpable gallbladder (Courvoisier's sign)
Hepatomegaly (extrahepatic biliary obstruction/secondary deposits)
Scratch marks
from duodenal obstruction ... Scratch marks (obstructive ... tumour spread to umbilicus ... via umbilical vein ... Cancer #Signs #diagnosis
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
a.k.a. cardiorenal syndrome ... a.k.a. hepatorenal syndrome ... Postrenal: • Ureteral obstruction ... requires bilateral obstruction ... Classification #diagnosis
Unilateral / Asymmetric Lower Extremity Swelling - Differential Diagnosis Framework
Acute:
 • DVT *Can't Miss Diagnosis
 •
- Differential Diagnosis ... Framework Acute ... Lymphangitis / Lymph Obstruction ... Regional Pain Syndrome ... Pelvic Outflow Obstruction
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Site of Vascular Obstruction ... due to sepsis (umbilical ... post-sinusoidal: Budd-Chiari syndrome ... #differential #diagnosis
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
- Differential Diagnosis ... biliary obstruction ... , HELLP Syndrome ... Intrahepatic • Obstructive ... #Differential #Diagnosis