1489 results
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
arteriovenous shunting ... cirrhosis: jaundice, ascites ... the left heart TREATMENT ... only definitive treatment
Ascites: Physical Exam Diagnostic Accuracy

Sensitivity and Specificity: Shifting Dullness, Bulging Flanks. Fluid Wave 

Source: Joseph D.
Ascites: Physical ... and Specificity: Shifting ... #PhysicalExam #Ascites
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... of patients w/ ascites ... edema (LR 0.17), shifting ... ) - fluid wave/shifting ... Uncomplicated ascites
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... according to the serum ascites ... SAAG ≥ 1.1: - Ascitic ... metastases - Ascitic ... Tuberculosis #SAAG #ascites
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
(high SAAG) + ascites ... PMN > 250 • Treatment ... Runyon's Criteria: Ascitic ... Positive Culture • Treatment ... #differential #ascites
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Defect (ASD) with Shunting ... pocus #bubble #Shunting
â–º
Shifting Dullness to Detect Ascites on Physical Exam
1) Perform with the patient supine.
2) Percuss across the
Shifting Dullness ... to Detect Ascites ... Positive test: When ascites ... #Ascites #Shifting
PFO with shunting on Contrast Echocardiogram (a4c) 
74 yo presents with CVA. RoPE score of 4.
PFO with shunting ... DrShemisa #PFO #shunting
â–º
Ascites with Shifting Dullness: Ascitic fluid will flow to the most dependent portions of the abdomen.
Ascites with Shifting ... Dullness: Ascitic ... The technique of shifting ... the presence of ascitic ... Clinical #Photo #Ascites
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
with exudative ascites ... Low ascitic fluid ... for exudative ascites ... patients with ascites ... #exudative #ascites