Ascites On Physical Exam

  ascites on physical exam: The Rational Clinical Examination: Evidence-Based Clinical Diagnosis David L. Simel, Drummond Rennie, 2008-04-30 The ultimate guide to the evidence-based clinical encounter This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency.--Annals of Internal Medicine The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination.--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. This extraordinary, one-of-a-kind book is a valuable addition to every medical library.--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine
  ascites on physical exam: Variceal Hemorrhage Roberto de Franchis, Alessandra Dell’Era, 2014-01-25 Variceal Hemorrhage provides an update of the evidence concerning several aspects of variceal hemorrhage. The book features new information on natural history, diagnosis of esophageal varices, assessment of the risk of bleeding and identification of high risk groups and patients who may benefit or be harmed from different treatments. The volume also presents a critical analysis of the different steps in the management of acute variceal bleeding. Authored by the most prominent world experts in their areas of expertise, Variceal Hemorrhage serves as a very useful reference for gastroenterologists, GI surgeons, residents in internal medicine and physicians dealing with and interested in the different aspects of this severe medical emergency.
  ascites on physical exam: Harrisons Manual of Medicine, 20th Edition Dennis L. Kasper, Anthony S. Fauci, Stephen L. Hauser, Dan L. Longo, J. Larry Jameson, Joseph Loscalzo, 2019-10-22 All the authority of the most trusted brand in medical content in a convenient, portable guide A Doody's Core Titles for 2023! The Harrison’s Manual, derived from most clinically salient content featured in Harrison's Principles of Internal Medicine, 20th Edition, delivers numerous clinical algorithms in one practical, portable resource. The Manual also includes abundant quick reference tables, plus concise text—providing rapid access to bedside information when decisions need to be made quickly. This full color summary guide covers all diseases and conditions commonly seen in inpatient general medicine, so you can be sure to find invaluable content directly to your workflow and practice. The 20th edition has been updated to reflect the latest clinical developments in medicine. The Manual truly makes it easy to find what you need at the point of care. The easy-to-navigate chapters cover symptoms/signs, medical emergencies, specific diseases, and care of the hospitalized patient, with a particular focus on: Etiology and Epidemiology Clinically Relevant Pathophysiology Signs and Symptoms Differential Diagnosis Physical and Laboratory Findings Therapeutics Practice Guidelines, and more
  ascites on physical exam: Evidence-based Physical Diagnosis Steven R. McGee, 2007 Clinical reference that takes an evidence-based approach to the physical examination. Updated to reflect the latest advances in the science of physical examination, and expanded to include many new topics.
  ascites on physical exam: Chronic Liver Failure Pere Ginès, Patrick S Kamath, Vicente Arroyo, 2010-11-03 Chronic liver failure is a frequent condition in clinical practice that encompasses all manifestations of patients with end-stage liver diseases. Chronic liver failure is a multiorgan syndrome that affects the liver, kidneys, brain, heart, lungs, adrenal glands, and vascular, coagulation, and immune systems. Chronic Liver Failure: Mechanisms and Management covers for the first time all aspects of chronic liver failure in a single book, from pathogenesis to current management. Each chapter is written by a worldwide known expert in their area and all provide the latest state-of-the-art knowledge. This volume is specifically designed to provide answers to clinical questions to all doctors dealing with patients with liver diseases, not only clinical gastroenterologists and hepatologists, but also to internists, nephrologists, intensive care physicians, and transplant surgeons.
  ascites on physical exam: Handbook of Clinical Diagnostics Xue-Hong Wan, Rui Zeng, 2019-08-26 The book covers basic theories, basic knowledge and basic skills on clinical diagnosis, basic requirements for doctors’ ethical conduct, clinical reasoning and documentation of medical records during the process of making a diagnosis. It consists of six parts, including ‘Symptoms’, ‘History Taking’, ‘Physical Examination’, ‘Supplementary Examination’, ‘Common Clinical Diagnosis Techniques’, and ‘Diagnostic Process and Clinical Reasoning’. A vocabulary index is included for easy reference at the end of the book. This book is compiled by authors of 14 Chinese medical schools and universities, whose years of experience in clinical diagnostics, rich overseas learning and working experiences. This book is included in the first round of English textbooks series for clinical medicine major of China's higher medical colleges; and is among 13th Five-Year planning textbooks of National Health Commission of the People’s Republic of China. It is also an ideal textbook for MBBS (Bachelor of Medicine and Bachelor of Surgery) student It is a co-publication book with People's Medical Publishing House (PMPH). The ISBN of PMPH version in China is 978-7-117-23852-6.
  ascites on physical exam: Clinical Skills for Pharmacists Karen J. Tietze, 2011-03-17 Covering the skills needed for pharmaceutical care in a patient-centered pharmacy setting, Clinical Skills for Pharmacists: A Patient-Focused Approach, 3rd Edition describes fundamental skills such as communication, physical assessment, and laboratory and diagnostic information, as well as patient case presentation, therapeutic planning, and monitoring of drug intake. Numerous case examples show how skills are applied in clinical situations. Now in full color, this edition adds more illustrations and new coverage on taking a medication history, physical assessment, biomarkers, and drug information. Expert author Karen J. Tietze provides unique, pharmacy-specific coverage that helps you prepare for the NAPLEX and feel confident during patient encounters. - Coverage of clinical skills prepares you to be more involved with patients and for greater physical assessment and counselling responsibilities, with discussions of communication, taking a medical history, physical assessment, reviewing lab and diagnostic tests, and monitoring drug therapies. - A logical organization promotes skill building, with the development of each new skill building upon prior skills. - Learning objectives at the beginning of each chapter highlight important topics. - Self-assessment questions at the end of each chapter help in measuring your comprehension of learning objectives. - Professional codes of ethics are described in the Ethics in Pharmacy and Health Care chapter, including confidentiality, HIPAA, research ethics, ethics and the promotion of drugs, and the use of advance directives in end-of-life decisions. - Numerous tables summarize key and routinely needed information. - Downloadable, customizable forms on the companion Evolve website make it easier to perform tasks such as monitoring drug intake and for power of attorney.
  ascites on physical exam: Emergency and Clinical Ultrasound Board Review Alan Chiem, Vi Am Dinh, 2020-04-14 Emergency and Clinical Ultrasound Board Review is a comprehensive guide for preparing for the Advanced Emergency Medicine Ultrasonography or Critical Care Echocardiography board exams, and for residents preparing for in-training examinations in ultrasound. The text consists of over 500 multiple-choice questions, organized into 18 chapters covering ultrasound topics such as physics, eFAST, echocardiography, thoracic, aorta, hepatobiliary, renal, pregnancy, soft tissue, ocular, procedural, airway, ENT, DVT, testicular, abdominal, and musculoskeletal applications. This is a multi-specialty work, with contributors representing the fields of emergency medicine, internal medicine, cardiology, critical care, and radiology. Chapters include questions, answers with detailed explanations and references to primary or landmark articles to help better navigate a standardized exam. Questions are written in a case-based format that emulates the ABEM and NBE board exams, and are supplemented by over 800 figures, tables, boxes, and online videos.
  ascites on physical exam: Open Abdomen Federico Coccolini, Rao Ivatury, Michael Sugrue, Luca Ansaloni, 2018-06-06 This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.
  ascites on physical exam: Abdominal Sepsis Massimo Sartelli, Matteo Bassetti, Ignacio Martin-Loeches, 2018-03-20 This book examines in detail the topic of sepsis, with a focus on intra-abdominal sepsis. Particular attention is devoted to source control in the management of the infection, antimicrobial therapy and sepsis support, which represent the cornerstones of treating patients with this problem. The importance of a multidisciplinary approach is highlighted not only by the instructive and informative sections on the acute manifestations of appendicitis, cholecystitis, and cholangitis, perforations and diverticulitis, Clostridium difficile infection and the role of candida in abdominal sepsis, but also by an extensive discussion of issues including antimicrobial resistance, damage control surgery, principles of antimicrobial therapy, hemodynamic support, adjunctive therapies, and thromboprophylaxis. Abdominal sepsis is the host’s systemic inflammatory response to intra-abdominal infections. It is associated with significant morbidity and mortality rates, and represents the second most common cause of sepsis-related mortality at intensive care units. Gathering contributions by authoritative experts from all around the world, this book will allow acute care surgeons, abdominal surgeons, intensive care clinicians, and students to broaden their understanding of intra-abdominal sepsis in daily clinical practice.
  ascites on physical exam: Intra-Abdominal Hypertension Manu Malbrain, Jan De Waele, 2013-08-15 Practical clinical handbook reviewing all aspects of the diagnosis and management of intra-abdominal hypertension; essential reading for all critical care staff.
  ascites on physical exam: Physical Examination for Surgeons Petrut Gogalniceanu, James Pegrum, William Lynn, 2015-06-25 A concise and highly visual guide to postgraduate physical examination for the MRCS exam, from an expert panel of surgeons.
  ascites on physical exam: Geriatric Rehabilitation Manual Timothy L. Kauffman, John O. Barr, Michael L. Moran, 2007-01-01 This manual gives step-by-step guidance on the evaluation and treatment of geriatric diseases and disorders. It covers incidence of disorders, diagnostic tests, associated diagnoses, clinical implications for mobility, and rehabilitation techniques. It offers a broad overview of the effects of aging on all body systems. Special geriatric considerations for laboratory assessment, thermoregulations, and pharmacology are also discussed. This manual is a resource for all training clinicians in geriatric care and is a quick-reference guide for students and practitioners in this field.
  ascites on physical exam: American Academy of Pediatrics Textbook of Pediatric Care Jane Meschan Foy, 2016-03-31 The definitive manual of pediatric medicine - completely updated with 75 new chapters and e-book access.
  ascites on physical exam: Oxford Textbook of Fundamentals of Surgery William E. G. Thomas, Malcolm W. R. Reed, Michael G. Wyatt, 2016 A definitive, accessible, and reliable resource which provides a solid foundation of the knowledge and basic science needed to hone all of the core surgical skills used in surgical settings. Presented in a clear and accessible way it addresses the cross-specialty aspects of surgery applicable to all trainees.
  ascites on physical exam: Vascular Disorders of the Liver Dominique Valla, Juan Carlos Garcia-Pagan, Andrea De Gottardi, Pierre-Emmanuel Rautou, 2021-12-03 This book provides a comprehensive account on individually rare, but collectively frequent diseases of the liver. In the first part, conditions such as hepatic vascular malformations, ischemic cholangiopathy, hepatic artery occlusion, sinusoidal conditions and Budd-Chiari syndrome are discussed among others. The second part examines the causes of vascular liver disease namely, coagulation disorders, neoplasm disorders, non-malignant blood disorders, systemic diseases and toxins, among others. The unique expertise of the authors, who are all members of the Vascular Liver Disease Disorders Group, an independent network of researchers with a common interest in Vascular Liver Diseases, are merged for an optimal pragmatic and individualized approach. This book is of interest to a broad range of experts, such as hepatologists, internists, radiologists and angiologists.
  ascites on physical exam: Pocket Guide to POCUS: Point-of-Care Tips for Point-of-Care Ultrasound (BOOK) BASTON, 2019-02-05 A unique pocket guide to the use of ultrasound at the point of careOf value to students (medical, nurse practitioner, and physician assistant), as well as practicing physicians, nurse practitioners, and physician assistants. Lately, there has been an enormous amount of interest in the use of ultrasound for both procedural and diagnostic guidance at the point of care. Although this type of instruction can be found in some textbooks, they are heavy, dense, and written for the classroom, not real-world clinical situations. Pocket Guide to POCUS is the portable, quick-hit alternative.Pocket Guide to POCUS provides trainees with the tips and reminders they may need at the point of care. Things such as what images to acquire, and how to get them, or a quick glance at pathology in comparison to a normal image. For learners at all levels, this pocket guide will hopefully reduce their fear of scanning, while preventing some of the more common pitfalls the authors have observed over their more than 50 cumulative years’ experience. Each chapter of the book is divided into four sections:•Key Images•Acquisition Tips•Interpretation and Pitfalls•Examples of PathologyThis information is conveniently located on cards that can be removed from the book and brought with you to the bedside. You can take notes on the cards, check off the scans that you’ve done, and of course, refer to them in order to provide your patients with the best care possible.
  ascites on physical exam: Physical Assessment of the Newborn Ellen P. Tappero, DNP, RN, NNP-BC, Mary Ellen Honeyfield, DNP, RN, NNP-BC, 2014-09-01 Physical Assessment of the Newborn, 5th Edition, is a comprehensive text with a wealth of detailed information on the assessment of the newborn. This valuable and essential resource illustrates the principles and skills needed to gather assessment data systematically and accurately, and also provides a knowledge base for interpretation of this data. Coverage addresses: gestational assessment, neurologic assessment, neonatal history, assessment of the dysmorphic infant, and systemic evaluation of individual body systems, as well as key information on behavioral and pain assessment, including the use of specific tools with various groups ranging from term to extremely preterm infants. Numerous tables, figures, illustrations, and photos, many of them in full color, are a major strength that enhances the book’s usefulness as a clinical resource. The text is an excellent teaching tool and resource for anyone who performs newborn examinations including nurses, neonatal and pediatric nurse practitioners, nurse-midwives, physicians and therapists. It can also serve as a core text for any program preparing individuals for advanced practice roles in neonatal care. KEY FEATURES: An authoritative and renowned text that comprehensively addresses all key aspects of newborn assessment Provides a well-ordered evaluation of individual body systems. Assists the practitioner in identifying infant state, behavioral clues, and signs of pain, facilitating individualized care. Comprehensively addresses the tremendous range of variation among newborns of different gestational ages. The content is amplified by numerous photos and illustrations, many in full color Includes Power Point slides and an Image Bank
  ascites on physical exam: Liver Diseases Florentina Radu-Ionita, Nikolaos T. Pyrsopoulos, Mariana Jinga, Ion C. Tintoiu, Zhonghua Sun, Ecaterina Bontas, 2020-01-10 This book provides an in-depth coverage not only of liver pathology but also of diagnosis of the numerous types of liver disease, placing specific emphasis on current treatments of liver pathology including the most up-to-date information on liver transplantation. The first part of provides an in-depth account of the liver pathology in different conditions such as Hepatits, liver ischaemia reperfusion injury, Lyme disease, cirrhotic cardiomyopathy and hepatocellular carcinoma. The second part provides a comprehensive overview of diagnostic methods. Of particular interest are chapters on the latest techniques in Patient-specific 3D printing and transient elastography (FibroScan). The final part focuses on treatment and provides a step-by step guide to the therapeutic management of liver diseases starting with pharmacological treatment and techniques including surgery and liver transplantation. This is an invaluable book for clinicians, practitioners including academics, scientists/researchers and postgraduates to provide the newest knowledge in the field of liver pathogenesis. It is written by a multidisciplinary team of experts in hepathology, gastroenterology, and surgery especially from liver transplantation.
  ascites on physical exam: Oxford American Handbook of Clinical Examination and Practical Skills Elizabeth Burns, Kenneth Korn, James Whyte, 2011-06-03 Over 200 color figures and concise, readable text guide students through the steps to perform a thorough and effective clinical examination and perform basic practical skills.
  ascites on physical exam: Infectious Diseases Emergencies Arjun S. Chanmugam, Andrew Bissonette,, Richard Rothman (MD), Sanjay Desai, Shannon B. Putman, 2016 Infectious Diseases Emergencies is a compact reference that summarizes the key topics of those infectious disease processes that are most commonly seen in practice. The opening section reviews principles of management and general management of severe infection in acute and emergency environments. The following sections provide a head-to-toe synopsis of common infections presenting in both outpatient and acute care settings. The concluding sections discuss vector borne infections, infections in special populations, and bioterrorism. Concisely written and consistently organized chapters outline the most useful elements of diagnosis and treatment for easy memorization and clarity.
  ascites on physical exam: Liver Disease Stanley Martin Cohen, Perica Davitkov, 2018-12-18 This clinical casebook provides a concise yet comprehensive state-of-the-art review of liver disease. Presented in a case-based format, each case features a scenario centered on a different variant of liver disease, with sections on case history, diagnosis/assessment, treatment, outcomes, alternative approaches, and clinical pearls. Diseases covered include drug-induced liver injury, acute hepatitis, chronic hepatitis, NAFLD, and cholangitis. Scenarios such as liver disease in pregnancy, elevated liver function tests, and liver transplants are also presented in the casebook. Written by experts in the field, Liver Disease: A Clinical Casebook is a valuable resource for clinicians and practitioners who treat patients with liver disease.
  ascites on physical exam: Clinical Rounds in Hepatology Virendra Singh, Akash Roy, 2022-01-29 This book presents a comprehensive collection of classic cases and problem scenarios encountered as bedside case discussions during ward rounds. It facilitates the practical management of hepatic disorders. The unique aspect of hepatology involves the blend of the basic tenet of clinical medicine applied to liver disease and a multitude of interventional modalities in the management of liver, biliary, and pancreatic diseases. This book takes the reader through the process of ruling in and ruling out possibilities based on clinical data (history and examination) and then traces the logical trajectory of each case from recommended investigations to the analysis of test results and finally to making a syndromic diagnosis. By adopting an evidence-based approach, the book emphasizes analytical and need-based studies to exclude any mimics. This book helps practice hepatologists and gastroenterologists for a systematic approach towards the most common cases.
  ascites on physical exam: Perioperative Chemotherapy U. Metzger, F. Largiader, H.-J. Senn, 2012-12-06 One reason for failure to cure solid tumors by surgery appears to be the impossibility of controlling metastases that are present but latent at the time of operation. This failure is a common clinical experience with aggressive neoplasms. but it is not always appreciated in tumors with longer survival times. e. g .• breast and colon cancer. In addition. recent evidence indicates that after resection of a primary tumor micrometas tases from it might be enhanced by suppression of immune and reticu loendothelial functions of the host. Other factors, such as increase of coagulability and stress in the perioperative period, can also promote tumor growth. The development of new metastases might be facilitated by cells forced into the circulation during operative manipulations. Such events could be important for the outcome of treatment and it is suggested that preventive measures should be directed to this systemic component of solid tumors. Radical surgery can reduce the number of tumor cells to a subclinical 3 6 stage (10 to 10 cells) in which chemotherapy might be more effective than in advanced stages. Chemotherapy, on the other hand, might aggravate the surgical morbidity by influencing the wound healing pro cess, by decreasing the immune response, and/or by toxicity to the bone marrow and to the gastrointestinal tract, for example.
  ascites on physical exam: Guide to Diagnostic Tests,Seventh Edition Diana Nicoll, Chuanyi Mark Lu, Michael Pignone, Stephen J. McPhee, 2017-03-24 The essential guide to more than 450 of the most commonly performed diagnostic tests – updated with the latest molecular, genetic, and microbiological tests A Doody's Core Title for 2019! Guide to Diagnostic Tests, Seventh Edition is a concise guide to the selection and interpretation of more than 450 of the laboratory and microbiology tests most relevant to the general practice of medicine. This on-the-spot clinical companion also includes coverage of diagnostic imaging, electrocardiology, echocardiography, and the use of tests in differential diagnosis. Features: • Covers areas of internal medicine, pediatrics, surgery, neurology, and obstetrics and gynecology • Over 25 new or substantially revised laboratory tests • New and updated coverage of emerging and re-emerging pathogens and infectious agents,including the Zika and Ebola viruses • Updated material on molecular and genetic tests, including pharmacogenetics tests • An entire section of diagnostic algorithms • Full literature citations with PubMed identification (PMID) numbers included for each reference • Details costs and risks of various procedures and tests • Full section on electrocardiography and echocardiography If you’ve been looking for an authoritative, up-to-date, and easy-to-carry guide to the latest diagnostic testing procedures, your search ends here.
  ascites on physical exam: Pancreatitis and Its Complications Chris E. Forsmark, 2005 World-renowned experts and opinion-makers comprehensively review the clinical challenges of managing acute and chronic pancreatitis and explain the basic science that underlies these management strategies. The authors provide up-to-date discussions of the pathophysiology, epidemiology, diagnostic strategies, treatment, and complications of the diseases.
  ascites on physical exam: Encyclopedia of Gastroenterology Leonard R. Johnson, 2004 This comprehensive three-volume encyclopedia is a comprehensive study of the entire digestive pathway, with nearly 500 focused articles. Each specific anatomical site such as the esophagus, stomach, liver, and pancreas is covered in its own subject area. The biology of gastroenterology is dealt with in areas such as anatomy and development, cell biology, and hormones, while clinical issues are also thoroughly covered in sections such as surgery, cancer, parasitology, and radiology and endoscopy. The Associate Editors include: David H. Alpers, Kim E. Barrett, John M. Carethers, Mark Feldman, Gregory J. Gores, Richard J. Grand, Martin F. Kagnoff, Rodger A. Liddle, Shelly Lu, James Lee Madara, Charles M. Mansbach II, Alexander R. Margulis, John A. Williams, Douglas W. Wilmore, and Jackie D. Wood. This stellar reference work will appeal to academic and clinical gastroenterologists, nephrologists, endocrinologists, physiologists, hepatologists, as well as general medical practitioners and nutritionists. Only comprehensive work on the market covering all aspects of gastroenterology Contains over 475 articles ranging from pediatrics to radiology, cancer to nutrition Written to be accessible to clinical and academic audiences Developed under the direction of a distinguished board of editors, with articles written by experts in their field Numerous illustrations, including color figures, support and amplify the article content
  ascites on physical exam: Emergency Medicine Procedures, Second Edition Eric F. Reichman, 2013-05-20 THE MOST CLEAR, COMPLETE, AND EASY-TO-UNDERSTAND REVIEW OF EMERGENCY MEDICINE PROCEDURES AVAILABLE Going far beyond the scope of most other texts, this lavishly illustrated, expert-authored reference helps you master the clinical and technical skills required to perform the full range of procedures in an emergency or acute care setting. The techniques presented in these pages will dramatically expand your understanding of emergency medicine procedures and--most importantly--your ability to deliver positive patient outcomes. FEATURES Over 1,700 original, precise illustrations Sections organized by procedures for each body region Each chapter focuses on a single procedure and oftenincludes several proven methods for performing it Chapters include: Relevant anatomy and pathophysiology Indications and contraindications for the procedure Preparation of the patient, including consent,anesthesia, and analgesia Step-by-step description of the procedure Cautions that indicate common problems Alternative techniques and helpful hints Aftercare and follow-up Potential complications Summary of critical information Includes both common procedures and infrequently encountered procedures Important evidence-based recommendations throughout Helpful pedagogy--includes key information, cautions, and important facts highlighted in bold Companion DVD with animations of the 20 most common or difficult procedures, and complete references for each chapter
  ascites on physical exam: Ultrasound for Primary Care Paul Bornemann, 2020-07-29 Master high-yield point-of-care ultrasound applications that are targeted specifically to answer questions that arise commonly in the outpatient clinic! Written for primary care providers in Family Medicine, Pediatrics and Internal Medicine, Ultrasound for Primary Care is a practical, easy-to-read guide. Learn to incorporate ultrasound to augment your physical exam for evaluation of thyroid nodules, enlarged lymph nodes, pericardial effusion, chronic kidney disease, and a host of musculoskeletal issues, and much more. Additionally, included are chapters on ultrasound for guidance of procedures including joint injections, lumbar puncture and needle biopsy, to name a few. Well-illustrated and highly templated, this unique title helps you expand the scope of your practice and provide more effective patient care. This is the tablet version which does not include access to the supplemental content mentioned in the text.
  ascites on physical exam: SRB's Clinical Methods in Surgery Sriram Bhat M, 2018-10-31 This book is a comprehensive guide to clinical methods in surgery for medical students. Divided into six sections, the text begins with examination methods in general surgery. The following sections cover different body systems, trauma and orthopaedics. The third edition has been fully revised and updated and many new topics added. The book concludes with new chapters on X-rays, instruments and specimens for quick revision. Each chapter is presented in a step by step manner explaining history, clinical examination, investigations and differential diagnosis. Some topics include case studies and clinical pearls to assist learning. Key points are highlighted in colour boxes and the text is enhanced by more than 2100 images and illustrations, many of which are new to this edition. The book includes access to complimentary videos demonstrating examination techniques. Key points Fully revised, new edition explaining clinical methods in surgery Third edition features new chapters on X-rays, instruments and specimens Includes access to complimentary videos demonstrating examination techniques Previous edition (9789351525264) published 2015
  ascites on physical exam: MGH Cardiology Board Review Hanna K. Gaggin, James L. Januzzi, Jr., 2013-08-26 MGH Cardiology Board Review is intended for physicians studying for the Cardiology Board Examination (Initial Certification or Re-certification) and for any busy practitioners who would like to review high-yield cardiology such as those in cardiology, emergency medicine, internal medicine, family practice, or even surgery. Designed for those on the go, each section is meant to be completed in 30 minutes; and at 30 minutes a day, the reader will have a complete overview of up-to-date information in 30 days. Each section has a concise didactic followed by a questions section with an identical format to the Cardiovascular Board Examination of the American Board of Internal Medicine.This book is from the Massachusetts General Hospital’s Cardiology Division, one of the most respected cardiology programs in the world and is its first Cardiology review book.
  ascites on physical exam: Comprehensive Clinical Nephrology E-Book Jurgen Floege, Richard J. Johnson, John Feehally, 2010-11-08 Comprehensive Clinical Nephrology provides you with all the tools you need to manage all forms of kidney disease. Drs. Jürgen Floege, Richard J. Johnson, John Feehally and a team of international experts have updated this fourth edition to include hot topics such as treatment of hypertensive emergencies, herbal and over-the-counter medicines and the kidney, neurologic complications of the kidney, and more. This essential resource gives you quick access to today’s best knowledge on every clinical condition in nephrology. Make efficient, informed decisions with just the right amount of basic science and practical clinical guidance for every disorder. Diagnose effectively and treat confidently thanks to more than 1100 illustrations, abundant algorithms, and tables that highlight key topics and detail pathogenesis for a full range of kidney conditions and clinical management. Get coverage of the latest developments in the field with 18 new chapters on the Management of the Diabetic Patient with Chronic Kidney Disease, Treatment of Hypertensive Emergencies, Principles of Drug Dosing and Prescribing of Chronic Kidney Disease, Herbal and Over-the-Counter Medicines and the Kidney, Neurologic Complications of the Kidney, and more. Tap into the experience and expertise of the world’s leading authorities in the field of nephrology. Floege, Johnson, and Feehally give you the information you need to make quick and correct clinical decisions
  ascites on physical exam: Principles and Practice of Hospital Medicine Sylvia McKean, John Ross, Daniel D. Dressler, Daniel Brotman, Jeffrey Ginsberg, 2011-12-30 The definitive guide to the knowledge and skills necessary to practice Hospital Medicine Presented in full color and enhanced by more than 700 illustrations, this authoritative text provides a background in all the important clinical, organizational, and administrative areas now required for the practice of hospital medicine. The goal of the book is provide trainees, junior and senior clinicians, and other professionals with a comprehensive resource that they can use to improve care processes and performance in the hospitals that serve their communities. Each chapter opens with boxed Key Clinical Questions that are addressed in the text and hundreds of tables encapsulate important information. Case studies demonstrate how to apply the concepts covered in the text directly to the hospitalized patient. Principles and Practice of Hospital Medicine is divided into six parts: Systems of Care: Introduces key issues in Hospital Medicine, patient safety, quality improvement, leadership and practice management, professionalism and medical ethics, medical legal issues and risk management, teaching and development. Medical Consultation and Co-Management: Reviews core tenets of medical consultation, preoperative assessment and management of post-operative medical problems. Clinical Problem-Solving in Hospital Medicine: Introduces principles of evidence-based medicine, quality of evidence, interpretation of diagnostic tests, systemic reviews and meta-analysis, and knowledge translations to clinical practice. Approach to the Patient at the Bedside: Details the diagnosis, testing, and initial management of common complaints that may either precipitate admission or arise during hospitalization. Hospitalist Skills: Covers the interpretation of common “low tech” tests that are routinely accessible on admission, how to optimize the use of radiology services, and the standardization of the execution of procedures routinely performed by some hospitalists. Clinical Conditions: Reflects the expanding scope of Hospital Medicine by including sections of Emergency Medicine, Critical Care, Geriatrics, Neurology, Palliative Care, Pregnancy, Psychiatry and Addiction, and Wartime Medicine.
  ascites on physical exam: Atlas of Adult Physical Diagnosis Dale Berg, Katherine Worzala, 2006 Written by noted physicians and educators at Thomas Jefferson University, this thoroughly illustrated text/atlas is the most comprehensive guide to physical examination techniques and physical diagnosis. Coverage of each anatomic site includes a review of anatomy, a general screening examination, and specific problem-oriented examinations, plus Teaching Points for physicians who precept medical students. A variety of techniques for each site and problem are shown, so that readers can adapt the examination to the patient. More than 700 illustrations—139 in full color—depict anatomic details, examination techniques, and significant findings. Tables present the evidence basis for various techniques. Annotated bibliographies are also included.
  ascites on physical exam: Pathology: The Big Picture William Kemp, Dennis K. Burns, Travis G. Brown, 2007-08-22 Get the BIG PICTURE of Pathology - and focus on what you really need to know to score high on the course and board exam If you want a streamlined and definitive look at Pathology - one with just the right balance of information to give you the edge at exam time - turn to Pathology: The Big Picture. You'll find a succinct, user-friendly presentation especially designed to make even the most complex concept understandable in the shortest amount of study time possible. This perfect pictorial and textual overview of Pathology delivers: A “Big Picture” emphasis on what you must know verses “what's nice to know” Expert authorship by award-winning, active instructors Coverage of the full range of pathology topics - everything from cellular adaptations and injury to genetic disorders to inflammation to diseases of immunity Magnificent 4-color illustrations Numerous summary tables and figures for quick reference and rapid retention of even the most difficult topic Highlighted key concepts that underscore integral aspects of histology (key concepts are also listed in a table at the end of each chapter) USMLE-type questions, answers, and explanations to help you anticipate what you'll encounter on the exams And much more!
  ascites on physical exam: Symptom to Diagnosis Scott D. C. Stern, Adam S. Cifu, Diane Altkorn, 2006 This innovative introduction to patient encounters utilizes an evidence-based step-by-step process that teaches students how to evaluate, diagnose, and treat patients based on the clinical complaints they present. By applying this approach, students are able to make appropriate judgments about specific diseases and prescribe the most effective therapy. (Product description).
  ascites on physical exam: CURRENT Diagnosis & Treatment Nephrology & Hypertension Edger Lerma, Jeffrey S. Berns, Allen R. Nissenson, 2008-10-31 A complete clinically focused guide to managing the full spectrum of kidney diseases and hypertension A Doody's Core Title! an up-to-date, accessible guide that covers all major clinical aspects of the adult patient with diseases involving the kidneys and hypertension. Numerous figures and tables are well integrated into structured chapters creating an easy flow of information that helps readers capture key points....In contrast to many other books in this area, this one provides a concise yet comprehensive review of each topic without getting lost in too much detail that interested readers can find in other places. It is a clinically useful tool for anybody interested in the field....Given its concise but comprehensive structure, this book is a great resource for students and residents who want to review basic physiology and pathophysiology but also get up-to-date information on diagnosis and therapy. The wide range of topics also makes it a useful tool for any clinicians at a more senior level who want to quickly review a particular subject. Lastly, due to its easily accessible structure, patients and families seeking medical information also might find it useful. 3 Stars.--Doody's Review Service Presented in the consistent, easy-to-follow CURRENT style, CURRENT Diagnosis & Treatment Nephrology & Hypertension offers incisive, ready-to-use management protocols and valuable therapeutic guidelines -- from authors who are recognized as the field's foremost authorities. Accessible, concise, and up-to-date, CURRENT Diagnosis & Treatment Nephrology & Hypertension features: One-of-a-kind clinical overview of all major diseases and disorders, from end-stage renal disease to primary and secondary hypertension A practical, learn-as-you-go approach to diagnosing and treating renal disorders and hypertension that combines disease management techniques with the latest clinically proven therapies Up-to-date coverage of transplantation medicine and need-to-know interventional procedures An important review of subspecialty considerations: renal disease in the elderly, diabetic nephropathy, critical care nephrology, and dialysis Expert authorship from prominent clinicians in the areas of kidney disease, dialysis, and hypertension
  ascites on physical exam: The Patient History: Evidence-Based Approach Mark Henderson, Lawrence Tierney, Gerald Smetana, 2012-06-13 The definitive evidence-based introduction to patient history-taking NOW IN FULL COLOR For medical students and other health professions students, an accurate differential diagnosis starts with The Patient History. The ideal companion to major textbooks on the physical examination, this trusted guide is widely acclaimed for its skill-building, and evidence based approach to the medical history. Now in full color, The Patient History defines best practices for the patient interview, explaining how to effectively elicit information from the patient in order to generate an accurate differential diagnosis. The second edition features all-new chapters, case scenarios, and a wealth of diagnostic algorithms. Introductory chapters articulate the fundamental principles of medical interviewing. The book employs a rigorous evidenced-based approach, reviewing and highlighting relevant citations from the literature throughout each chapter. Features NEW! Case scenarios introduce each chapter and place history-taking principles in clinical context NEW! Self-assessment multiple choice Q&A conclude each chapter—an ideal review for students seeking to assess their retention of chapter material NEW! Full-color presentation Essential chapter on red eye, pruritus, and hair loss Symptom-based chapters covering 59 common symptoms and clinical presentations Diagnostic approach section after each chapter featuring color algorithms and several multiple-choice questions Hundreds of practical, high-yield questions to guide the history, ranging from basic queries to those appropriate for more experienced clinicians
  ascites on physical exam: Variceal Bleeding David Westaby, Roger Williams, Brian R. D. Macdougall, 1982
  ascites on physical exam: Care at the Close of Life: Evidence and Experience Stephen J. McPhee, Margaret A. Winker, Michael W. Rabow, Steven Z. Pantilat, Amy J. Markowitz, 2010-10-04 From one of the world’s leading medical journals comes the definitive evidence-based, full-color guide to end-of-life and palliative care ...represents an important milestone in the evolution of care for people with advanced disease—-for which its editors and authors and JAMA should be rightly proud. It is wonderful that JAMA had the foresight to publish a series on this topic, which, as medicine has become more technologically advanced and subspecialized, is often overlooked and, sometimes worse, avoided....this book will be invaluable for front-line clinicians, and indeed all health care practitioners—as care at the close of life is a part of almost all of medicine’s specialties and settings.--Irene J. Higginson, BMBS, PhD, FPPHM, FRCP; Dept. of Palliative Care, Policy, & Rehabilitation; Cicely Saunders Institute; King's College London (from the foreword) A new addition to the JAMAevidence series, Care at the Close of Life: Evidence and Experience offers evidence-based and clinical expert guidance on caring for patients with life-limiting illness, incorporating the words and perspectives of affected patients, their families, and treating clinicians. Organized by these actual clinical cases, the book is based on the acclaimed 7-year series of 42 articles, originally published in JAMA as “Perspectives on Care at the Close of Life,” and now thoroughly updated as chapters and featuring extensive never-before-published material. Care at the Close of Life covers are a wide range of clinical syndromes, disease processes, communication challenges, health-care delivery settings, and issues faced by patients, including withdrawal of dialysis and other life-sustaining measures, cross-cultural approaches, and the role of chemotherapy. Throughout the book, emphasis is on the principles of palliative care, with the patient and family at the center of care, and with attention given to all problems—physical, psychological, social, and spiritual. Reflecting this focus, each chapter begins with a patient case study to introduce the clinical problem, followed by “perspectives” that draw on extensive, real-world dialogue between clinicians, patients, and families. Internationally renowned authors then review the typical challenges illustrated by the case, offering state-of-the-art, evidence-based assessment and treatment approaches. Features Fully revised and updated text with new evidence and references, including the search methodology for each chapter’s update Evidence-based orientation presents the current state of knowledge in the care of terminally ill patients and support for their families and caregivers Practical clinical guidance and approaches from international experts in palliative care Self-assessment Q&A, for reinforcing your knowledge of each chapter’s content and for preparing for exams A useful Glossary of acronyms, terms, and tests Updated Resources for each chapter offer current, authoritative sources of diagnostic and treatment information that can help you optimize palliative care Medline PubMed ID numbers facilitate quick, convenient access to references
Diagnosis and Management of Ascites - Core Concepts
Physical Examination The presence of bulging flanks suggests the presence of ascites (Figure 3).[3] In order for the flank dullness to be appreciated on physical examination, at least 1,500 …

REVIEW The diagnostic work-up in patients with ascites: …
Physical examination A screening physical exam should be carried out in every patient, with awareness of signs of liver disease (erythema palmare, spider naevi, splenomegaly), heart …

A guide to diagnosing and managing ascites in cirrhosis
Physical exam • Check for distended abdomen, flank dullness, positive shifting dullness, and fluid thrill. • Look for signs of chronic liver disease: spider angiomas, jaundice, caput medusae, …

Assessment for Ascites - Centers for Disease Control and …
Physicians should be familiar with the signs of ascites and physical examination maneuvers that can be used to detect ascites. The sensitivity of these maneuvers is limited by the amount of …

Diagnosis, Evaluation, and Management of Ascites, …
The initial evaluation of ascites should include history, physical examination, abdominal doppler ultrasound, laboratory assessment of liver and renal function, serum and urine electrolytes, and …

Edema: Diagnosis and Management - AAFP
PHYSICAL EXAMINATION. The physical examination should assess for systemic causes of edema, such as heart failure (e.g., jugular venous distention, crackles), renal disease (e.g., …

AASLD PRACTICE GUIDELINE - Texas | Liver
The physical examination for detecting ascites in the obese patient is problematic. An abdominal ultrasound may be required to determine with certainty if fluid is present. The diagnosis of …

Ascites due to Cirrhosis - VA.gov
How is ascites diagnosed? By physical exam and abdominal imaging (e.g., ultrasound or CT) A sample of the fluid is tested to confirm the cause of ascites and diagnose SBP. How is ascites …

41-Year-Old Woman With Ascites - mayoclinicproceedings.org
Physical exam revealed a young woman in no acute distress. She had conjunctival icterus. Cardiac exam showed regular rate and rhythm, a holosystolic murmur at the left lower sternal …

Ascites and Hepatorenal Syndrome: Pathophysiology and …
For detection on physical examination by shifting dullness, approximately 1.5 to 3.0 L are needed in the peritoneum, depending on the habitus of the patient. Demonstration of a fluid thrill or fluid …

Ultrasound for Detection of Ascites and for Guidance of the ...
Sep 8, 2014 · Ascites is a common end point of multiple disease states that lead to leakage of fluid into the peritoneal cavity. The most common etiology for ascites is liver dysfunction and …

Management of adult patients with ascites due to cirrhosis: …
The physical examination for detecting ascites in the obese patient is problematic. An abdominal ultrasound may be required to determine with certainty if fluid is present. Ascites usually is …

Ascites - Fluid Wave Handout - EBM Consult
Fluid Wave Assessment for Ascites Indications: • Patient presenting with a protuberant abdomen and with a history of liver disease or cirrhosis, hepatic or portal vein obstruction, heart failure, …

Liver Cirrhosis Care Guide - CCHCS
• Physical Exam: Particularly mental status changes, skin changes, hepatosplenomegaly, spider angioma, with changes, hematemesis, jaundice, and edema in addition to usual review of …

Paracentesis Clinic Physical Exam Checklist - lumen.luc.edu
Please check the boxes of the physical exam findings you identified during your Paracentesis Clinic experience. In order to recall of which findings you should be observant, bring this list …

Ascites: Diagnosis and Management - theclinics.com
The physical examination should focus on stigmata of cirrhosis and signs suggest- ing the presence of ascites. Stigmata of cirrhosis such as spider angioma and palmar

Cirrhosis: Diagnosis and Management - AAFP
Aug 20, 2019 · Ascites treatment includes diuresis, salt restriction, and anti- biotic prophylaxis for spontaneous bacterial peritonitis, when indicated. Hepatic encephalopathy is managed with …

Liver Cirrhosis Patient Information and Toolkit
Ascites can be controlled by keeping a low salt diet and by using medications prescribed by your doctor to pee out extra water. These are called diuretics, or water pills, like Spironolactone and

EASL clinical practice guidelines on the management of …
The initial evaluation of a patient with ascites should include history, physical examination, abdominal ultrasound, and laboratory assessment of liver function, renal function, serum and …

Cirrhosis and Chronic Liver Failure: Part I. Diagnosis and
ascites have additional stigmata of cirrhosis on physical examination. Accurately diagnosing ascites depends upon the amount of fluid present in the abdomen,

Canine Ascites - Iowa State University
presentedwith ascites mayinclude a complete blood count (CBC), biochemical evaluation, abdominal paracentesis and biocheIll,ical and cytologic analysis of the fluid obtained, …

Ascites: Diagnosis and Management - theclinics.com
Ascites: Diagnosis and Management WeiHou, MD,ArunJ.Sanyal,MBBS, MD* Ascites is a common complication of cirrhosis. The development of ascites marks the ... The physical …

Ultrasound for Detection of Ascites and for Guidance of the ...
Sep 8, 2014 · gutters are generally included for the specific detection of ascites. The use of US to diagnose ascites has been supported by the fact that physical examination findings, like …

SEE THE SIGNS CAIRO/COOKE BEFORE VOD ERUPTS REVISED …
• Ascites confirmed by physical exam and/or imaging studies • measurements can be used when Reversal of portal venous flow (hepatofugal flow) by Doppler ultrasound • Hepatic biopsy …

Cirrhosis Case Discussion - University of Michigan
•48-year-old male with h/o alcohol related cirrhosis c/w ascites presented to ED with abdominal pain. Pain started one day back and initially gelt like he has pulled a muscle and now become …

Paracentesis Clinic Physical Exam Checklist - lumen.luc.edu
Paracentesis Clinic Physical Exam Checklist . Name: _____ Date: _____ (Check out Bate's textbook or the Stanford25 website, liver disease section for exam findings also.) ... Ascites - …

RECIST New CRA Orientation Alliance - Cancer and Leukemia …
Ascites, pleural or pericardial effusion, inflammatory breast disease, lymphangitic involvement of skin or ... identified by physical exam that is not measurable by reproducible imaging …

RECIST 1
ascites, pleural or pericardial effusion, inflammatory breast disease, lymphangitic involvement of skin or lung, abdominal masses/abdominal organomegaly identified by physical exam that is …

Abdominal ultrasound, physical examination, and …
The best indicators of ascites on physical examination are the presence of a positive fluid wave and shifting dullness. Ascites is unlikely to be found if bulging flanks, flank dullness, and …

Gastrointestinal Physical Exam Check list - Doctor 2021
6)Ascites A-SHIFTING DULLNESS • Start percussion from xipisternum until reach the most tympanic point anteriorly at umbilicus , then percuss laterally to find dullness, ask the patient to …

OPD Management of Dengue - World Health Organization
- ascites ( physical exam, U/S) - serum albumin <3.5 gm% in normal or < 4 gm% in obese or decrease 0.5 gm% from baseline - thickening of gall bladder / fluid in hepato- renal pouch / gall …

Pericardial Effusion
Jul 15, 2016 · Upon physical exam, patients with acute effusion typically have muffled or absent heart sounds, jugular venous distention as well as poor peripheral pulses; however, with small …

Educational Topic 55: Ovarian Neoplasms - APGO
• Physical exam findings typically include the presence of an adnexal/pelvic mass. In advanced stages, ab-dominal distension with ascites and/or an abdominal mass may be noted. …

Scored Patient-Generated Subjective Global Assessment (PG …
Point score for the physical exam . Scored Patient-Generated Subjective Global Assessment (PG -SGA) Worksheet 1 – Scoring Weight Loss To determine score, use 1-month weight data if …

Evaluation and Prognosis of Persons with Cirrhosis
the presence of splenic enlargement, but the accuracy of physical examination in assessing organ size is limited.[8] The most useful physical examination findings to confirm ascites are the …

Bates’ Visual Guide to Physical Examinati - Wolters Kluwer
%PDF-1.4 %âãÏÓ 429 0 obj > endobj xref 429 53 0000000016 00000 n 0000001872 00000 n 0000002072 00000 n 0000002116 00000 n 0000005732 00000 n 0000006265 00000 n …

PHYSICAL EXAMINATION FORM - repository.niddk.nih.gov
Code 0=none, 1=facial, 2=pretibial, 3=above knee, 4=presacral, 5=ascites, 6=anasarca) G2. Is this a Visit 1b study visit? Yes..... 1 (Skip to Section I) No ... Were there any sections of the …

An Illustrated Guide For Abdominal and Genitourinary …
2-Observe patient's face for pain during the exam 3- Start gently/softly palpating the abdomen - thinking of there being 9 regions/areas – 4- check for tenderness, guarding, masses, rebound …

A Prospective Database of Infants with Cholestasis (PROBE)
• Form 07 Physical Exam LOGIC G1.pdf • Form 07 Physical Exam LOGIC G2 G5.pdf • Form 08.1 08.3 Labs LOGIC G1 G3.pdf • Form 08.2 08.5 Labs LOGIC G2 G5.pdf • Form 11 Surgery …

AASLD PRACTICE GUIDELINE - Texas | Liver
The physical examination for detecting ascites in the obese patient is problematic. An abdominal ultrasound may be required to determine with certainty if fluid is present. The diagnosis of …

PHYSICAL EXAMINATION (PE)
PHYSICAL EXAMINATION (PE) CKiD PE: Physical Exam Form - 01/01/06 Page 6 of 6 SECTION I: PROBLEMS I1. Were there any sections of the physical exam form that were difficult to …

Cirrhosis By: Brad Fedor, MD
Decompensated Cirrhosis = Jaundice, Variceal bleed, encephalopathy, ascites Physical Exam: • Liver: Enlarged, firm, eventually shrunken and nodular • Asterixis (negative myoclonus, sign of …

PHYSICAL EXAMINATION FORM - repository.niddk.nih.gov
PHYSICAL EXAMINATION (PE) CKiD PE: Physical Exam Form – 08/01/16 Page 7 of 7 SECTION I: PROBLEMS I1. Were there any sections of the physical exam form that were difficult to …

Proceedings of UCLA Health - eScholarship
bilateral pleural effusions, and ascites. Physical exam was notable for diffuse anasarca, the absence of oral ulcers and malar rash, decreased shoulder strength and active range of …

LIVER FUNCTION TESTS - University Hospitals
• Sonographic Murphy’s sign has higher PPV and NPV than physical exam Murphy’s ... Ascites None Controlled Uncontrolled Bilirubin <2.0 2.0-3.0 >3.0 Encephalopathy None Minimal …

Gastrointestinal: Abdominal Assessment and Labs - Veterans …
Set up like a hospital patient room or outpatient exam room Room Set-up: Set up like an inpatient room The patient will be wearing a gown The abdomen is large and round with significant …

Stage 1 – Pre Exam Checklist - The Master Surgeon
the exam you will be required to show how to do this in a normal healthy patient or one with hepatomegaly. Percussion for splenomegaly is similar but working obliquely from RIF to LUQ …

Scored Patient-Generated Subjective Global Assessment (PG …
7. Worksheet 4 – Physical Exam . Exam includes a subjective evaluation of 3 aspects of body composition: fat, muscle, & fluid. Since this is subjective, each aspect of the exam is rated for …

PHYSICAL EXAMINATION (PE)
PHYSICAL EXAMINATION (PE) CKiD PE: Physical Exam Form - 01/01/07 Page 6 of 6 SECTION I: PROBLEMS I1. Were there any sections of the physical exam form that were difficult to …

Ascites In Dogs - Acta Scientific
ascites in cirrhosis”. Gut 55.6 (2006): vi1-v12. 7. Moore CM and Van Thiel DH. “Cirrhotic ascites review: Patho-physiology, diagnosis and management”. World Journal of Hep - atology 27.5 …

Pelvic mass – diagnosis Symptoms and management
physical examination will help to ascertain the site of origin of the mass and its nature. Further investigations with imaging studies and laboratory tests are usually necessary. ... evidence of …

Acute Abdominal Pain in Adults: Evaluation and Diagnosis
and physical examination, stillness can suggest peritonitis, or writhing ... ascites. Rebound tenderness, invol-untary guarding, and pain with heel tap or cough suggest peritonitis. Ade-

Board Simulation in Hepatology
shortness of breath. On exam, her oxygen saturation is 87% while breathing ambient air. Her cardiopulmonary exam is normal. She has no ascites, but has marked digital clubbing. ABG: …

Boot Camp: Cirrhosis - University Hospitals
Physical Examination • Hypotension (splanchnic vasodilation –NO mediated) • Jaundice • Ascites • Asterixis • Nodular firm liver edge • Caput medusa • Gynecomastia • Fetor hepaticus • Terry …

American College of Physicians - Internal Medicine Meeting …
DIAGNOSING AscITES AND SBP BY EXAM Recommendation: Diagnosing Ascites-Sensitivity of physical exam maneuvers to diagnose ascites range from 20-66% with auscultatory percussion …

Gastrointestinal Bleeding When is it a True Emergency?
Physical exam may be ... Caution in refractory ascites and low MAP < 84 mmHg; Also in SBP? Algorithm for Primary Prophylaxis (Baveno VI) FINDING RESPONSE . Diagnosis of Cirrhosis . …

PROTOCOL TITLE: Using Ultrasound Elastography to Predict …
Ascites ( Physical exam or radiographic) and /or Weight gain > 5 %above baseline weight Hepatomegaly increased over baseline . 3.2. Recently, a promising drug for SOS treatment …

Clinical Assessment in Acute Heart Failure
Relying on a limited set of physical examination findings alone is associated with low sensitivity and poor predictive value in identifying hemodynamic congestion. In a study of patients with …

Diagnosis and Management of Adnexal Masses - AAFP
thorough history and physical examination, and careful attention to subtle historical clues. ... bilaterality, Doppler flow to the solid component of the mass, and presence of ascites. Fam ...

Role of the nutrition‐focused physical examination in …
NutritioninClinicalPractice 45 RATIONALEFORNFPE Malnutrition occurs when nutrition intake is insuffi-cienttomaintainaperson’shealth.4 Insufficientintake can be the result of inadequate …

Cirrhosis - BINASSS
cardiac ascites, peritoneal carcinomatosis, infections (especially peritoneal tubercu-losis), massive hepatic metastasis, and other rare causes. History and physical examination are …

Hepatology in the abdominal OSCE
angular stomatitis, cachexia, ascites, liver not palpable (fibrosed). •Viral hepatitis (hepatitis B and C) –tattoos, needle track marks. • NAFLD–usually overweight or obese, may have needle …

Diagnosis and Management of Ascites - Core Concepts
Physical Examination The presence of bulging flanks suggests the presence of ascites (Figure 3).[3] In order for the flank dullness to be appreciated on physical examination, at least 1,500 …

APPROACH TO ASCITES
You have to ask about 1.Symptoms of the ascites itself : abd discomfort or pain , SOB, wt gain , early satiety. 2.Heart related: Orthopnea , PNDs, exertional dyspnea, chest pain, LL swelling

Quick Start Guide and Abdominal cases - UMass Chan …
Ascites is the most common complication of cirrhosis leading ot hospital admission. US can differentiate ascites from other causes of abdominal distention such as adipose tissue, …

Malnutrition - ACDIS
Physical Assessment – loss of muscle (i.e. temples, clavicles, shoulders, scapula, thigh and calf) Muscle Mass . Moderate depletion . Muscle Mass . Severe depletion . Muscle Mass . Severe …

KASL clinical practice guidelines for liver cirrhosis: Ascites and ...
tes.8 The physical examination for finding ascites in the obese pa-tient is difficult. An abdominal ultrasound can be helpful to con-10 _ _ The Korean Association for the Study of the Liver …

Canine HSA - Amy Kraft - Mississippi State University
neoplasia based on physical exam findings. For example, limb radiographs may be pursued in cases of lameness suggesting a bone lesion, and magnetic resonance imaging (MRI) may be …

ASSESSING MALNUTRITION IN LIVER DISEASE PATIENTS …
The Nutrition Focused Physical Exam (NFPE) was developed for nutrition professionals to aid physicians in a nutrition-based diagnosis of ... ascites/edema which may require paracentesis …

Cardiac Physical Exam Start Simple LOCATIONS FOR …
Aortic Regurgitation Abnormalities Exam Findings Aortic valve does not close ... ascites, edema * Best heard with the bell * Systemic congestion (increased * ↑ JVP, V wave if TR present …