10 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... : Loss of body hair ... fluid, Dilated abdominal ... #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
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
nausea, vomiting, abdominal ... (renal + hepatic ... dysfunction) • Pulmonary ... Biphasic #Phases #Diagnosis ... #Illness #Signs
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
Diagnosis? ... Answer: Large intra-abdominal ... hx of Crohn's disease ... signatures of air ... #ultrasound #clinical
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... Arterial blood gas (ABC ... performed on room air ... cirrhosis • Intra-pulmonary ... older) on room air
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
/lung sliding: Pulmonary ... interstitial lung disease ... partially seen shred sign ... NOT definitively diagnose ... #clinical #ultrasound
Lung Infections in HIV - Differential Diagnosis Framework

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

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... 3) Abdominal, ... extrapulmonary disease ... fungal stain of clinical ... • Septic shock
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
or family - Ever ... algorithm to determine ... Change in clinical ... undergoing AAA or upper abdominal ... stratification #diagnosis
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