Wednesday, October 8, 2008

Stigmata of Liver Disease



HoPingKong-isms:

1. "...does the patient live near the liberty bell?..." referring to the Philadelphia chromosome and the bcr-abl gene in CML.

2.
"...this thing is hidden...it's like crypton..." referring to cryptogenic cirrhosis.
3. "...I'm getting colder and colder...and I'm constipated..." referring to hypothyroidism as a rare cause of rhabdomyolysis.
Stigmata of Liver disease:

1) Liver failure
a. Encephalopathy
b.
Asterixis
c. Jaundice /
icterus of sclera or frenulum
d.
Fetor hepaticus
e. Bruising
f. Muscle wasting (
Temporalis muscle, interosseous muscles)
g. Clubbing

2) Causes of cirrhosis
a. Duputryen’s contracture (alcohol)
b. Track marks (IV drug use)
c.
Keiser Fleischer rings (Wilson’s disease)
d. "Bronzed"
complexion of skin (hemachromatosis)

3) High estrogen state
a. Palmar erythema
b. Spider Nevi
c.
Gynacomastia
d. Pectoral
allopecia and feminization of body hair
e. Testicular atrophy

4) Portal Hypertension
a. Pedal Edema and ascites
b. Distended abdominal veins
c.
Caput medusae
d.
Splenomegaly


spider angiomas, Dupuytren's contracture, and palmar erythema seen below...







21 comments :

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Lisa Kenneth said...

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AIB FUNDING. said...

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sheneanna said...

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Kate said...

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the virus and not a cure. I have been with the virus since 2012 until I was
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Emedkit said...

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