10 results
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 ... of pregnancy 3. ... Mediterranean fever
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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
RBCs (subtract 1 ... if other signs (fever ... , abdominal pain ... good as 10 days 2) ... dL and advanced liver
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
days and presents fever ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... organs #dengue #fever
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
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... L about 2 weeks ... ago, no fevers/chills ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Small Bowel Obstruction on POCUS

This 28yo female with history of Crohn's disease presents with abdominal pain,
pain, nausea, and ... specificity using 1) ... small bowel), 2) ... of >2.5cm, and 3) ... #Abdominal #clinical
Clinical Presentations Suggestive of Infectious Diarrhea Etiologies
 • Persistent or chronic diarrhea - Cryptosporidium spp, Giardia
Clinical Presentations ... Cryptosporidium spp ... infections can cause ... cramping lasting 1– ... 3 days or less -
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... patients such as: 1. ... than 50/μL) 2. ... Hematologic malignancy 3. ... (elevations of liver
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... /50 Rule (part 1) ... was placed on 3 ... consider intra-abdominal ... bleeding often from a liver