13 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 ... , Palpable gallbladder ... #signs #diagnosis
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Bowel Overgrowth (SIBO ... Intolerance • Celiac Disease ... Gastric Outlet Obstruction ... • Ascites • ... Dyssynergia Diagnostics
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... dullness, puddle sign ... auscultatory percussion, abdominal ... wall hernias (umbilical ... of underlying disease
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
- Differential Diagnosis ... Postinflammatory • Hernia ... : External abdominal ... Inflammatory: Crohn's disease ... #SBO #bowel #Causes
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
- Differential Diagnosis ... • Intestinal obstruction ... Femoral/Inguinal hernia ... intolerance • SIBO ... hernia • Rib
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Small Bowel Obstruction ... the ED), c/w an SBO ... Labeled Schematic ... #SmallBowel #Obstruction ... #Abdominal #clinical
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... of portal HTN: ascites ... hepatic outflow obstruction ... ) • Lack of signs
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Treat if other signs ... (fever, abdominal ... advanced liver disease ... #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Symptoms: cough, abdominal ... peripheral edema, ascites ... identificaton of obstructive ... coronary artery disease
Pneumopericardium on POCUS Echocardiogram

This 70yo male presents with sob. He is in a left lateral decub
Which diagnosis ... pericard effusion, no signs ... of prior hiatal hernia ... Labeled Schematic ... Echocardiogram #clinical