11 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Diseases 1) Hands ... Wilson's disease 3) ... #disease #signs ... #diagnosis
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... > 1.1 g/dL) 1. ... of pregnancy 3. ... Mediterranean fever ... #Causes #diagnosis
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 ... classification #diagnosis
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Worsening RUQ pain/fever ... Diagnosis? ... surrounded by ascites ... US Murphy's sign ... #clinical #ultrasound
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 ... at the bedside #3 ... #clinical #obgyn
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Treat if other signs ... (fever, abdominal ... dL and advanced liver ... Peritonitis #SBP #diagnosis
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
Sarcoidosis - Diagnosis ... renal failure Clinical ... 3 of cases): 50% ... heart (2-5%), liver ... #Management #Signs
ANTI-MDA5 DERMATOMYOSITIS

Cutaneous manifestations:
• Periorbital heliotrope (blue-purple) rash with edema
• Erythematous rash on the face, or the
auricular papules Clinical ... Dermatomyositis • Fever ... RP-ILD Phenotype 1 ... weakness Phenotype 3 ... #dermatology #diagnosis
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... patients such as: 1. ... Hematologic malignancy 3. ... (elevations of liver ... enzymes, diarrhea, abdominal
Hemophagocytic Lymphohistiocytosis (HLH)

High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
dysfunction. 1. ... Activation Syndrome) 3. ... Clinical Presentation ... • Common Signs ... - Elevated liver