Diagnosis of Liver & Biliary Tree Diseases

Diagnosis of Liver & Biliary Tree Diseases

165 slides presentation covered the following the topics.
Hepatic Acinus
Liver Function Tests
Laboratory Evaluation of Liver Disease
Imaging Studies & Biopsy
Manifestations of Liver Disease
Life-Threatening Complications
Pathway of bilirubin excretion
Haemolytic Jaundice
Hepatocellular Jaundice
Cholestasis (Obstructive Jaundice)
Clinical Features of Cholestasis
Diagnostic Approach to Jaundice
Ascites- accumulation of free fluid within the peritoneal cavity
Clinical Features & Diagnosis
Abdominal Paracentesis
Management of Acites
Portal Hypertension - increased pressure in the portal venous system
Hepatomegally - enlargement of the liver
Drugs, Toxins & the Liver
Drug Metabolism
Fatty Liver Disease
Classification Clinical Features & Diagnosis of Steatosis
Alcoholic Liver Disease
Metabolism of Alcohol
Pathogenesis
Acute Viral Hepatits Investigations & Diagnosis
Hepatitis A
Hepatitis B
HBV – Life Cycle
Hepatitis C
Autoimmune Hepatitis
Chronic Liver Disease
Fibrosis
Cirrhosis Clinical Features & Diagnosis
Chronic Liver Failure
Antitrypsin Deficiency
Obstructive Biliary Disease
Primary Biliary Cirrhosis
Secondary Biliary Cirrhosis
Other Causes of Liver Disease
Iron Metabolism
Classification of Haemosiderosis & Haemochromatosis
and much more are discussed eloborately

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Diagnosis of alimentary canal / gastrointestinal tract

Examination of The alimentary canal / gastrointestinal tract

Diagnosis of GIT disorders
History & Physical Exam
Investigations of GIT disease
X-Rays & barium studies
Ultrasound, CT & MRI
Endoscopy
Colonoscopy
Manometry
Gastric analysis
Laparoscopy
Bacterial cultures (stool) & serology

Manifestations of GIT disease
Dyspepsia & Differential Diagnoses
History Taking
Investigatations
Diarrhoea
Aetiology & Pathophysiology
Constipation
Gastro-Intestinal Bleeding
Causes of Weight Loss
Abdominal Pain
Areas of Pain & Differentials
Malabsorption Syndromes
Pruitis Ani - anal and perianal itching
Causes of Oral Ulcerations
Recurrent Aphthous Stomatitis
Herpes Simplex Virus
Oral Candidiasis
Salivary Gland Disorders
Suppurative Parotitis - bacterial infection of parotid glands
Mumps
Ulcerative Gingivitis
Oesophagitis
Hiatus Hernia
Mallory-Weiss Syndrome

This is 222 slides presentation. Extensively covered many topics.

The alimentary canal / gastrointestinal tract.ppt

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Introduction to Diagnostics

Introduction to Diagnostics

Following topics are discussed in this presentation

Cornerstones of Medical Ethics
Ethical Principles to Guide Behavior
Process of Diagnosis
History taking

– Physical examination
– Laboratory tests
– Diagnostic Approaches
• Recognition
• Reasoning
• Waiting on events
• Hypothesis
• Selective doubting Reliability of data? Symptoms vs Signs
Attributes of a Symptom
The Health History
Identification data
– Date & time of history
– Age, gender, occupation, marital status
– Source of history & reliability

• Main complaint
– One or more symptoms that is causing the patient to seek help
– Quote patients own words

• History of main complaint
– Amplifies the main complaint
– Pulls in relative portions of systems review
– Includes patients thoughts & feelings
• Past medical history
– Childhood diseases & vaccinations
– Lists adult diseases & surgery
– Health maintenance practice

• Medications & supplements
– Prescription drugs name; dose; route; frequncy
– Home remedies otc; vitamins & minerals; herbal supplements; OCP

• Health status
– Allergies
– Smoking; Alcohol; Recreations drugs
– Caffeine
– Sexual history
• Family history
– Outlines or diagram's
– Age & health of patients
– Age and cause of death
– Particularly parents, grandparents & siblings

• Psycho-Social history
– Educational level
– Economic standards
– Personnel interests
– Lifestyle Etc

• Systems review
– Documents presence or absence of sommon symptoms related to each body system


Techniques of Interviewing
• Active listening
• Adaptive questioning general to direct
• Non-verbal communication
• Facilitation
• Echoing
• Empathetic responses
• Validation
• Reassurance
• Summarization

The Physical Examination
• General overview
• Vital signs
• Skin
• Head, eyes, ears, nose & throat
• Neck & back
• Cardiovascular system
• Respiratory system
• Gastrointestinal system
• Upper & lower extremities & peripheral vascular system
• Nervous system
• Breast exam
• Genital & rectal examination

Introduction to Diagnostics.ppt

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