11 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 ... : Loss of body hair ... fluid, Dilated abdominal ... #disease #signs
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Perforation on POCUS ... Look at all the ... to look for the abdominal ... #Perforation #POCUS ... #clinical #ultrasound
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... POCUS - Enhanced ... peritoneum and liver ... #Abdominal #POCUS ... #EPSS #clinical
TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
TIE Fighter Sign ... uncommon during nephrology ... rounds in the liver ... in long axis, all ... #clinical #ascites
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Symptoms: cough, abdominal ... distension, wheeze, abdominal ... peripheral edema, ascites ... coronary artery disease
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Inhibitors of Na+K+2Cl ... Postoperative abdominal ... distention • Abdominal ... Excretion #Diuresis #Nephrology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Treat if other signs ... (fever, abdominal ... dL and advanced liver ... disease (Child-Pugh ... SBP #diagnosis #management
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
presence of free air ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... skin injury) • Neurologic ... • Nonsurgical abdominal ... Syndrome #diagnosis #management ... #signs #symptoms
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Pulmonary 3) Abdominal ... Mississippi and Ohio River ... fungal stain of clinical ... Fungal #Diagnosis #Management