10 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... fluid, Dilated abdominal ... #disease #signs ... #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c ... #clinical #cardiology ... #McConnells #sign
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... >10 mmHg - clinically ... pregnancy • Primary biliary ... #Diagnosis #causes
Localized Acute Abdominal Pain(<72 hours) - Differential Diagnostic Algorithm
Look for surgical abdomen
Upper quadrant: R/O cardiac, pulmonary,
Localized Acute Abdominal ... Diagnostic Algorithm ... : R/O cardiac, pulmonary ... Hepatitis • Hepatic ... #Diagnosis #Algorithm
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
tests algorithm ... symptoms/signs ... include extrahepatic biliary ... LFTs #Abnormal #Algorithm ... #Enzymes #Differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Differential Bilat ... /lung sliding: Pulmonary ... 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,
Diagnosis Framework ... • CT: Halo sign ... lymphadenopathy, • Abdominal ... Hyponatremia • Elevated hepatic ... Infections #HIV #AIDS #pulmonary
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
perinephric abscess) • Biliary ... through: - Hepatic ... sources within abdominal ... children #peds #differential ... #diagnosis #hepatology
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 ... This patient’s clinical ... exam findings and clinical ... This post will focus ... consider intra-abdominal