7 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... fluid, Dilated abdominal ... #physicalexam #cirrhosis ... #liver #disease ... #signs #diagnosis
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... POCUS - Enhanced ... peritoneum and liver ... #Abdominal #POCUS ... #EPSS #clinical
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... performed on room air ... with or without cirrhosis ... • Intra-pulmonary ... older) on room air
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... 3) Abdominal, ... , neutropenia, cirrhosis ... Increased protein level ... normal glucose level
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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... disease and pulmonary ... extra-cardiac shunt in cirrhosis ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
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