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Shifting Dullness to Percussion on Physical Exam to Detect Ascites

Dr. André Martin Mansoor @AndreMansoor

#Shifting #Dullness #Percussion

Shifting Dullness ... AndreMansoor #Shifting ... Ascites #clinical #video

Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -

Defect (ASD) with Shunting ... pocus #bubble #Shunting

PFO with shunting on Contrast Echocardiogram (a4c)
74 yo presents with CVA. RoPE score of 4.

PFO with shunting ... DrShemisa #PFO #shunting

$Double Counting on Cardiac Monitoring The “double counting” heart rate phenomenon. T waves are so prominent the$

Double Counting ... Monitoring The “double counting ... EM_RESUS #Double #Counting

Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
• ↓ Atmospheric pressure
• Hypoventilation: CNS

↓Ventilation (↑Shunting

Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
• Hypovolemia
• Congestion
• Medications
•

Medications • Shunting

ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the

cardiology #pocus #shunting

Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs

like Gl loss, shunting

Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
• Low PATM Can decrease first part

Intrapulmonary shunting ... , intracardiac shunting

Ascites: Physical Exam Diagnostic Accuracy

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

Source: Joseph D.

and Specificity: Shifting

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