144 results
Shifting Dullness to Percussion on Physical Exam to Detect Ascites

Dr. André Martin Mansoor @AndreMansoor

#Shifting #Dullness #Percussion
Shifting Dullness ... Exam to Detect Ascites ... AndreMansoor #Shifting ... #PhysicalExam #Ascites
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
PFO with shunting on Contrast Echocardiogram (a4c) 
74 yo presents with CVA. RoPE score of 4.
PFO with shunting ... DrShemisa #PFO #shunting ... a4c #clinical #cardiology
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
Double Counting on Cardiac Monitoring
The “double counting” heart rate phenomenon. T waves are so prominent the
Double Counting ... Monitoring The “double counting ... EM_RESUS #Double #Counting ... telemetry #clinical #cardiology
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
Right Sided Heart Failure Mnemonic: "AW HEAD"
ANOREXIA & NAUSEA 

WEIGHT GAIN 

HEPATOMEGALY 

EDEMA (BIPEDAL) 

ASCITES 

DISTENDED
EDEMA (BIPEDAL) ASCITES ... #HeartFailure #Cardiology
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
Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.
Ascites, pericardial ... Answer: Ascites, ... RJonesSonoEM #Ascites ... clinical #ultrasound #cardiology