9 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... abdominal wall ... liver #disease #signs ... #diagnosis
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
POCUS Not your ... CBD is also dilated ... , shotgun sign is ... @CincySono #CysticDuct ... #abdominal #clinical
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... hypersplenism and related ... pregnancy • Primary biliary ... #causes #hepatology
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... gastric emptying delay ... Positive Carnett's sign ... incisional hernias: clinical ... #differential #diagnosis
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
Hypercortisolism - Diagnosis ... and Clinical Features ... ecchymoses • Delayed ... , oral cavity) Caused ... #signs #symptoms
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
Severe abdominal ... in over 80% of cases ... missed and/or delayed ... diagnosis and intervention ... Trauma #Injury #clinical
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
and increasing abdominal ... small bowel loops dilated ... diagnosis of SBO ... You do not see signs ... : 9.55 for clinical
Pickelhaube Sign on Echocardiogram
Pickelhaube sign may be seen in mitral valve prolapse (MVP): High velocity (≥
Prussian and German military ... prolapsing leaflets causes ... Echocardiogram #POCUS ... #cardiology #clinical ... #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... This patient’s clinical ... exam findings and clinical ... This post will focus ... consider intra-abdominal