11 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... fluid, Dilated abdominal ... physicalexam #cirrhosis #liver ... #disease #signs ... #diagnosis
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Pancreatitis - Elevated Liver ... Enteropathy -> Ascites ... Pseudo-Obstruction: Abdominal ... pathophysiology #signs ... #symptoms #diagnosis
Chilaiditi Sign on Chest X-Ray
Anterior interposition of the colon between the hemidiaphragm and the liver.
Chilaiditi sign
Chilaiditi Sign ... hemidiaphragm and the liver ... Chilaiditi sign ... thus important to diagnose ... #Chest #XRay #CXR
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... develops (DIC, ascites ... Transfer to a liver
Pneumoperitoneum vs Pseudo-Pneumoperitoneum aka Chilaiditi Sign
It mimics pneumoperitoneum and it is thus important to diagnose it
aka Chilaiditi Sign ... thus important to diagnose ... colon) between the liver ... clinical #radiology #cxr ... #xray #chest
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
Intense abdominal ... accumulation (ascites ... Liver enlargement ... involvement, such as liver ... classification #diagnosis
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Treat if other signs ... (fever, abdominal ... dL and advanced liver ... Peritonitis #SBP #diagnosis
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... s/p colectomy, liver ... care center for diagnostic ... POCUS performed ... #ultrasound #abdominal
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... concern for blunt abdominal ... Severe abdominal ... injuries to spleen, liver ... and/or delayed diagnosis