Clinical ,radiological and endoscopic signs of liver diseases

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Presentation transcript:

Clinical ,radiological and endoscopic signs of liver diseases

Tense ascites in a patient with portal hypertension

Jaundice in a patient with liver cell failure

Patterns of jaundice

Limon yellow jaundice

Olive green jaundice

Palmer erythema one of manifestations of chronic liver faliure

Gynecomastia

Spider nevi

White nails

Dilated veins

Apparent veins in a patient with tense ascites

Clubbing in a patient with chronic liver diseases

Cirrhotic liver vs normal liver

Liver cirrhosis as shown by US Irregular border Coarse echogenicity Liver cirrhosis as shown by US

Fatty liver

Us abdomen shows ascites in a patient with liver cirrhosis Anechoic shadow of ascits Us abdomen shows ascites in a patient with liver cirrhosis

Collateral blood vessels ,one of sequel of portal hypertension

Splenomegaly ,one of sequel of PHT

Gall bladder stone by US Stone with acoustic shadow

Chronic cholecycteites Double wall sign

Esophageal varicies grade 4 as shown by upper endoscopy Cherry red spots Columns of blood Esophageal varicies grade 4 as shown by upper endoscopy

Gastric varicies as shown by upper endoscopy

Portal hypertensive gastropathy Snake skin appearance gastric mucosa Portal hypertensive gastropathy

Band ligation of esophageal varicies rubber bands Band ligation of esophageal varicies

Injection sclerotheapy of gastric varicies

Budd chiari syndrome Hepatic venous thrombus

Obstructive jaundice by us abdomen

ERCP Multiable common bile duct stones

Stone extraction by ERCP

Hepatic Hemangiomas Hyperechoic focal lesions (Heamangioma)

Hypoechoic focal lesion HCC) Normal liver HCC by us abdomen

Arterial enhancement and delayed wash out in HCC patient

Liver metastasis Multiable target lesions

Cholngiocarcinoma