187 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
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
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 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
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Medications • Shunting ... Differential #Diagnosis #nephrology
Acute Treatment of Migraine

- BWH Medicine Chiefs @BrighamChiefs

#Migraine #Treatment #management #neurology #headache #medications
Acute Treatment ... #Migraine #Treatment ... #management #neurology
Pharmacokinetics of commonly used diuretics medications in CKD, Cirrhotic Ascites, and Heart Failure
 • Furosemide
 •
CKD, Cirrhotic Ascites ... Spironolactone MCW Nephrology
Algorithm for the Treatment of Parkinson Disease With Predominant Postural Instability and Gait Impairment

#Management #Neurology #Parkinsons
Algorithm for the Treatment ... #Management #Neurology ... Disease #Medication #Treatment