147 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
Medications for Treatment of Acute Gout
 - NSAIDs
 - Colchicine (Colcrys)
 - Corticosteroids
#Acute #Gout #Medications #Treatment
Medications for Treatment ... #Medications #Treatment ... Management #AAFP #Rheumatology
Gout Management in CKD
 • Colchicine
 • NSAID
 • Glucocorticoid
 • ACTH
 • Interleukin-1 Inhibitors

#Gout #Management
Management #CKD #rheumatology ... #treatment #comparison
Rheumatoid Arthritis - ACR 2021 Guidelines
 - Low Disease Activity
 - Moderate to High Disease Activity
Tapering DMARDs - Treatment ... Guidelines #management #treatment ... #rheumatology
Treatment of Thrombotic Thrombocytopenic Purpura (TTP)
Diagnosis of TTP:
 • Rare and severe, ADAMTS13 deficiency
 • Autoimmune
Treatment of Thrombotic ... HUS) Treatment ... Purpura #management #treatment ... #rheumatology # ... hematology