10 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
1) Hands: Clubbing ... Palmar erythema 2) ... fluid, Dilated abdominal ... Ascites, Palpable gallbladder ... #physicalexam #cirrhosis
Asterixis on Physical Exam

Asterixis, aka liver flap, indicates at least Grade 2 hepatic encephalopathy in a
Asterixis, aka liver ... at least Grade 2 ... hepatic encephalopathy ... at wrist 2. ... - fall of the hands
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... , edematous gallbladder ... wall and a gallstone ... on Abdominal Ultrasound ... #Liver #Gallbladder
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Pregnancy (AFLP) Pathophysiology ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... age • Monitor and ... Pregnancy #hepatology #obstetrics
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... Analysis, muscle ultrasound ... prevent or treat hepatic ... cirrhosis. ... management #hepatology #pathophysiology
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... Pearls: #1 Confirm and ... an IUP or not. #2 ... Transvaginal #Pelvic #Ultrasound ... clinical #obgyn #obstetrics
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Oxytocin 40 IU in 1 liter ... analgesia 2. ... Using external abdominal ... compression (using ultrasound ... Diagnosis #Management #obstetrics
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... cirrhosis w ascites ... constipation, last LVP 2 ... L about 2 weeks ... #abdominal #abscess
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Rhinocerebral 2) ... Pulmonary 3) Abdominal ... Ohio River valleys ... , neutropenia, cirrhosis ... Aspergillosis Pathophysiology
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
disease: cirrhosis ... Pathophysiology: ... Normal kidney ultrasound ... >2.5 mg/dL in <2 ... - Salt and