Asterixis - Flapping Tremor on Physical Examination There is inability to maintain a position which can be demonstrated by jerking movements of outstretched hands when bent upwards at wrist. Causes includes hepatic encephalopathy, Co2 narcosis, etc Dr Prasad Jain @DrPrasadJain #Asterixis #Flapping #Tremor #PhysicalExam #clinical #video #cirrhosis