5 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... , Palpable gallbladder ... physicalexam #cirrhosis #liver ... #disease #signs
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Positive #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
POCUS - Enhanced ... Peritoneal Stripe Sign ... anteriorly over the RUQ ... peritoneum and liver ... #EPSS #clinical
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
pain/fever. ... surrounded by ascites ... US Murphy's sign ... #clinical #ultrasound ... #RUQ #gallbladder
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 ... not seen on a CXR ... bleeding often from a liver