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3 Signs of Cirrhosis on Physical Exam: Telangiectasia, Gynecomastia and Terry's Nails

Dr. Bruno Farnetano @bruno.farnetano

#Cirrhosis #PhysicalExam

Telangiectasia, Gynecomastia ... PhysicalExam #clinical #video ... Telangiectasia #Gynecomastia

Male Gynecomastia - Watery Breast Discharge on Physical Exam
At presentation, our patient had bilateral gynaecomastia and

Male Gynecomastia ... had bilateral gynaecomastia ... #Gynecomastia #breast ... PhysicalExam #clinical #video

Gynecomastia - Differential Diagnosis Algorithm
No Testicular Mass on Ultrasound
• Adrenal Neoplasm
• Increased Extraglomerular Aromatase

Gynecomastia - Differential ... T4 and TSH • Androgen ... Hypogonadism #Gynecomastia

Gynecomastia - Differential Diagnosis a
nd Workup Algorithm
Gynecomastia is common in clinical practice, affecting ~50% of males

Gynecomastia - Differential ... Workup Algorithm Gynecomastia ... mendesthiagob #Gynecomastia

Causes of Breast Disorders and Gynecomastia - Differential Diagnosis Algorithm
Breast Infection:
- Lactational

Disorders and Gynecomastia ... • Fibrocystic Gynecomastia ... Breast #Disorders #Gynecomastia

Correction formulas for Hypernatremia and Hyponatremia
#Management #Nephro #Hyponatremia #Hypernatremia #Correction #FreeWaterDeficit #Formulas #Androgue #Calculation

FreeWaterDeficit #Formulas #Androgue

Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure

- Long-acting analogue ... - Vasopressin analogue

Idiopathic Unilateral Gynecomastia on Physical Exam

#Idiopathic #Unilateral #Gynecomastia #PhysicalExam #clinical #video

Idiopathic Unilateral Gynecomastia ... Idiopathic #Unilateral #Gynecomastia ... PhysicalExam #clinical #video

Hirsutism - Differential Diagnosis
Defined as excessive dark, coarse, male-pattern hair growth
Hirsutism causes in premenopausal women:
•

Syndrome, Acromegaly, Androgen-secreting ... hyperthecosis • Androgen-secreting

Differential Diagnosis and Workup for Male Gynecomastia:
Medications: spironolactone, ketoconazole, finasteride, alcohol, opiates, INH, steroids (testosterone, estrogen),

Workup for Male Gynecomastia ... , androgen deprivation ... Persistent pubertal gynecomastia ... longstanding history of gynecomastia ... Thyroid disease #Gynecomastia

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