7 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... fluid, Dilated abdominal ... physicalexam #cirrhosis #liver ... #disease #signs ... #diagnosis
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... develops (DIC, ascites ... Transfer to a liver
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
Intense abdominal ... accumulation (ascites ... Liver enlargement ... involvement, such as liver ... classification #diagnosis
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... s/p colectomy, liver ... care center for diagnostic ... +constipation, last ... #ultrasound #abdominal
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... Severe abdominal ... injuries to spleen, liver ... exams, FASTs and ... and/or delayed diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... a chest x-ray (CXR ... consider intra-abdominal ... bleeding often from a liver