23 results
Hepatic hydatid cyst: water lily sign

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Hepatic #hydatid #cyst #WaterLily #sign #liver #ultrasound
Hepatic hydatid ... cyst: water lily sign ... cyst #WaterLily #sign ... #liver #ultrasound ... abdominal #clinical #pocus
"Playboy Bunny" sign, seen w/hepatic congestion due to R heart failure.

Dr. Josie Acuna @jgacuna

#Hepatic #Congestion #Bunny
Playboy Bunny" sign ... , seen w/hepatic ... Congestion #Bunny #Sign ... Playboy #Clinical #Liver ... #Ultrasound #POCUS
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... : Loss of body hair ... physicalexam #cirrhosis #liver ... #disease #signs ... #diagnosis
Primary Biliary Cirrhosis - Diagnosis Algorithm
Symptoms: Fatigue, Pruritus, Right upper quadrant discomfort
Signs: Jaundice, Xanthelasmata, Hepatomegaly
Associated history:
Primary Biliary ... Algorithm Symptoms ... quadrant discomfort Signs ... Persistent pruritus after ... Liver biopsy findings
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
significant portal HTN Signs ... obstruction) • Lack of signs ... sarcoidosis) • Liver ... metastasis • Fatty liver ... pregnancy • Primary biliary
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver ... Artery Embolization
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Venous Gas on POCUS ... ominous prognostic sign ... result of recent diagnostic ... Portal #VenousGas #POCUS ... #Liver #Ultrasound
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
manifestations of acute liver ... abnormalities Liver ... manifestations #acute #liver ... #failure #Signs ... #Symptoms #Diagnosis
Fever of Unknown Origin (FUO) - Further Workup

 • CNS symptoms? Get an LP and imaging
Workup • CNS symptoms ... thin smear • Signs ... duplex or CTA • Liver ... Liver biopsy • ... Temporal artery
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
cholestasis → Cirrhosis/Liver ... failure PBC Signs ... and Symptoms: ... or higher • Liver ... malignancies, Hepatic