9 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 ... Mediterranean fever ... #Causes #diagnosis
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Diseases 1) Hands ... fluid, Dilated abdominal ... , Palpable gallbladder ... disease #signs #diagnosis
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
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? ... on sag image. ... surrounded by ascites ... #clinical #ultrasound
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
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... (see below for diagnosis ... Pearls: #1 Confirm ... #clinical #obgyn
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 ... weeks ago, no fevers ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
status NTM Cause ... patients such as: 1. ... (elevations of liver ... enzymes, diarrhea, abdominal ... Lung Disease: • Clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
/50 Rule (part 1) ... and second ribs.1 ... consider intra-abdominal ... bleeding often from a liver ... Most commonly caused