32 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Aspiration of ascitic ... 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
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... - Differential Diagnosis ... Pulmonary/Chest ... : • Acute: Ascites ... poisoning, DKA, Fever
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... significant portal HTN Signs ... of portal HTN: ascites ... portal HTN: • Ascites
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... classification #diagnosis
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... , vomiting, abdominal ... develops (DIC, ascites ... ) Differential Diagnosis ... Maternal Support - Critical
Biphasic Illness of Leptospirosis
Some patients do not progress to severe disease. Others, rapidly develop severe disease
-14 days): • Fever ... , vomiting, abdominal ... dysfunction) • Pulmonary ... Biphasic #Phases #Diagnosis ... #Illness #Signs
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... Diagnosis concerning ... for Pulmonary Embolism ... #POCUS #Echocardiogram ... #A4C #clinical
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 ... partially seen shred sign ... NOT definitively diagnose ... #clinical #ultrasound
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... Mediterranean Fever ... Positive Carnett's sign ... incisional hernias: clinical ... #differential #diagnosis