14 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Aspiration of ascitic ... fluid, Dilated abdominal ... Splenornegaly, Ascites ... , Palpable gallbladder ... #signs #diagnosis
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... dullness, puddle sign ... auscultatory percussion, abdominal ... incisional). 3) Signs ... of underlying disease
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
Stone-In-Neck Sign ... (SIN sign). ... #Sign #POCUS #clinical ... #gallbladder #ultrasound ... #abdominal #labeled
Stone-In-Neck Sign on POCUS

A patient presents with abdominal pain and tenderness over this area. The scan
Stone-In-Neck Sign ... (SIN sign) with ... #Sign #POCUS #clinical ... #gallbladder #ultrasound ... #abdominal #labeled
Clinical Features of Systemic Lupus (SLE)
General: Fever (50%), Depression, Fatigue (75%), Weight loss (50%)
Eye: Sjögrens (15%)
Skin
Restrictive lung defect ... valve lesions Abdominal ... pain (20%) Renal disease ... erythematosus #signs ... #symptoms #diagnosis
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Pathophysiology: • Defect ... in fetal free fatty ... nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound
Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)
) Sign of Acute ... (SIN) is a sign ... diagnosing chole ... POCUS #clinical #ultrasound ... Cholecystitis #Labeled
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Treat if other signs ... (fever, abdominal ... advanced liver disease ... Peritonitis #SBP #diagnosis
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... claudication, pulse deficits ... multiplex • GI tract: Abdominal ... gut involvement, abdominal
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... vasculitis) - Affects ... - GI tract: abdominal ... purpura: strong sign ... Supply gut -> abdominal