19 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Aspiration of ascitic ... fluid, Dilated abdominal ... #physicalexam #cirrhosis ... #signs #diagnosis
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... POCUS Cirrhosis ... Peritonitis #SBP #Abdominal ... #POCUS #clinical ... Pneumoperitoneum #Complex #Ascites
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
common causes: cirrhosis ... dullness, puddle sign ... auscultatory percussion, abdominal ... incisional). 3) Signs ... of underlying disease
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... a gallstone on Abdominal ... Ultrasound - POCUS ... #Ultrasound #POCUS ... #Clinical #Abdominal
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Perforation on POCUS ... has history of cirrhosis ... Look at all the ... to look for the abdominal ... #clinical #ultrasound
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
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
Free Fluid in Morrison's Pouch on Abdominal POCUS

22 yo, no known pmhx, with atraumatic abdominal pain,
Morrison's Pouch on Abdominal ... with atraumatic abdominal ... from CHF, renal disease ... Morrisons #Pouch #Abdominal ... #POCUS #clinical
TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
TIE Fighter Sign ... on POCUS - Uterus ... uncommon during nephrology ... in long axis, all ... #clinical #ascites
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Treat if other signs ... (fever, abdominal ... Recommended for all ... advanced liver disease ... SBP #diagnosis #management