21 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 ... Diseases 1) Hands ... Palmar erythema 2) ... , Palpable gallbladder
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... > 1.1 g/dL) 1. ... Liver disease ... 2 1.1 g/dL) - ... #Causes #diagnosis
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... The most common causes ... more than one cause ... auscultatory percussion, abdominal ... concentration (bowel or biliary
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... pregnancy • Primary biliary
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... , vomiting, abdominal ... develops (DIC, ascites ... ) Differential Diagnosis ... hepatology #obstetrics #obgyn
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... (see below for diagnosis ... Pearls: #1 Confirm ... an IUP or not. #2 ... #clinical #obgyn
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... classification #diagnosis
Normal IUP Findings 1) Yolk sac: Round fluid-filled structure within the gestational sac, located in the
Normal IUP Findings 1) ... the endometrium 2) ... #Diagnosis #Clinical ... #EM #Obgyn #Radiology ... TransAbdmonial #POCUS
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... L about 2 weeks ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... GH stimulates liver ... GH & PRL) • ~2% ... peripheral (bronchial/abdominal ... or refractory cases