Monthly Archives: February 2013

Radiology: Tumor thrombus

Hepatocellular carcinoma (HCC) has a way of invading local vasculature, in particular the portal vein.  HCC can invade intra or extra hepatic segments of the PV.  It is particularly important that you determine whether a PV thrombus is bland (ie. … Continue reading

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Pathology: prurigo nodularis

Prurigo nodularis can be seen in liver disease.  Pruritus develops after the deposition of bile acids in the skin.  Repetitive scratching can, in some patients, lead to the development of hyperpigmented nodules.  This finding does not require skin biopsy.  The … Continue reading

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The Sunday Chronicles

This is your stomach.  Fill it 1/3 with food, 1/3 with water, and leave the last 1/3 empty.

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The Sunday Chronicles

(AP) – A meteor crashed into Earth near Siberia on Friday, injured more than 1,000 people and smashed windows throughout several towns.  A natural phenomenon like this happens every hundred years or so.  Yvgeny Stupiltikov, a local warehouse manager, recalls … Continue reading

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The wise physician on vacation is smart to know the all important Vacation Pentad: no phone, pager, wallet, keys or wristwatch.  Success is achieved when all 5 components are (un)accounted for. – Cohen

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Transient elastography

Question:  A 66 year old female with hepatitis C virus has the following lab results:  AST 100, ALT 175, AP 200, Bilirubin 3.0, transferrin saturation 60%.  You decide to perform transient elastography (TE) because you are suspecting cirrhosis.  The result … Continue reading

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Clinical Pearl

Drugs can induce ANA positive autoimmune hepatitis.  The ones to be aware of include minocycline, hydralazine, methyldopa, inflixamab, peginterferon and even some statins.

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