7 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Flapping tremor (hepatic ... : Loss of body hair ... fluid, Dilated abdominal ... #disease #signs
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
-14 days): • Fever ... nausea, vomiting, abdominal ... (renal + hepatic ... dysfunction) • Pulmonary ... Diagnosis #Illness #Signs
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... /lung sliding: Pulmonary ... lung disease, interstitial ... partially seen shred sign ... #clinical #ultrasound
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• CT: Halo sign ... lymphadenopathy, • Abdominal ... Hyponatremia • Elevated hepatic ... Infections #HIV #AIDS ... #pulmonary #differential
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... murmur 3/6) - Pulmonary ... algorithm to determine ... Change in clinical ... undergoing AAA or upper abdominal
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... 3) Abdominal, ... yeast • At risk: AIDS ... Increased protein level ... normal glucose level
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... This patient’s clinical ... exam findings and clinical ... consider intra-abdominal