8 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... : Loss of body hair ... fluid, Dilated abdominal ... #disease #signs ... #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... portal HTN: • Ascites ... sarcoidosis) • Liver ... metastasis
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
POCUS 24yo healthy ... DCed. 2/2 blood cx ... recommended, but IR ... #Abscess #Hepatic ... #Ultrasound #Abdominal
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... Blood Cx grew GPC ... #Pneumobilia #air ... #liver #pocus # ... #hepatic
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... s/p colectomy, liver ... care center for diagnostic ... #Ascites #POCUS ... #abdominal #abscess
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Treat if other signs ... (fever, abdominal ... fluoroquinolone to complete ... dL and advanced liver ... disease (Child-Pugh
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 ... a chest x-ray (CXR ... consider intra-abdominal ... bleeding often from a liver