19 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Diseases 1) Hands ... Palmar erythema 2) ... Wilson's disease 3) ... , Palpable gallbladder
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... , edematous gallbladder ... Ultrasound - POCUS ... #Liver #Gallbladder ... #Clinical #Abdominal
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 ... - Cirrhosis ... of pregnancy 3.
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... . 2) Other findings ... auscultatory percussion, abdominal ... incisional). 3)
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
Peritonitis • Cirrhosis ... (high SAAG) + ascites ... fluid protein > 1 ... : 1) Clinical Features ... WBC, >50% PMNs 3)
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Vascular Obstruction 1) ... , Abdominal trauma ... including surgery 2) ... , Sarcoidosis 3) ... , Polycystic liver
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... Pearls: #1 Confirm ... an IUP or not. #2 ... at the bedside #3 ... #clinical #obgyn
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... criteria: 1 ... and no apparent focus ... Intense abdominal ... accumulation (ascites
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... cirrhosis w ascites ... L about 2 weeks ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... anatomic shunt (Type 2) ... Clinical Presentation ... in left heart 3- ... with or without cirrhosis