10 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Palmar erythema 2) ... : Loss of body hair ... fluid, Dilated abdominal ... #disease #signs
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
2 blood cx + for ... recommended, but IR ... #Abscess #Hepatic ... #POCUS #Clinical ... #Ultrasound #Abdominal
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... peritoneum and liver ... #Abdominal #POCUS ... #EPSS #clinical ... #ultrasound #radiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... Clinical Presentation ... Arterial blood gas (ABC ... performed on room air ... older) on room air
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... 2 patients w ... strain related to pulmonary ... #clinical #cardiology ... #a4c #labeled
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
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
• CT: Halo sign ... CMV: • 2-4 ... lymphadenopathy, • Abdominal ... Hyponatremia • Elevated hepatic ... Infections #HIV #AIDS #pulmonary
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... disease and pulmonary ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Rhinocerebral 2) ... Pulmonary 3) Abdominal ... 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 ... /50 Rule (part 2) ... consider intra-abdominal ... #Radiology #CTChest