HEPATOSPLENOMEGALY Clinical Case Presentation

The White Army Comprehensive Clinical Class
Hepatosplenomegaly clinical case presentation by Mr. Melwin Maben, 4th Year M.B.B.S, H.I.M.S Hassan.
Mentor: Dr. Archith Boloor, Associate Professor at K.M.C., Mangalore; Author of the Famous Textbook Exam Preparatory Manual for Undergraduates- Medicine.
Ppt download link : drive.google.c...
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[@thebigbull7309]

1:03:26 spider nevi
Upper chest
Bsck distribution of svc
With pin head or glass silde
1:02:24 parotid swelling
Dupuytryen contraction seen in alcoholic paitent
1:00:17 tremor: to or for movement due action of agonist and antigonist muscle action.
Flapping tremor: one way or jercy movement... negative myoclonus...
Check it outstretched hand , proximal part of lower limb
52:31 pluse : High volume bounding pulse
Tachycardia: Upper gi
Blood pressure message : sitting position...
54:26 tachypnea
1) massive ascites
2) plural eiffusion
3) hepatopulmonary syndrome : breathless in sitting position : platypnea
58:18 rapid appear ( hepatocellular failure)
Ictrus
Spider nevi
59:09 resting coarse tremor of hand due alcohol intake
58:18 rapid appear ( hepatocellular failure)
Ictrus
Spider nevi
54:26 tachypnea
1) massive ascites
2) plural eiffusion
3) hepatopulmonary syndrome : breathless in sitting position : platypnea
52:31 pluse : High volume bounding pulse
Tachycardia: Upper gi
Blood pressure message : sitting position...
42:40 inborn error of metabolism
1) Willson disease
2) hemochromtatosis
3) alpha 1 antitrypsin deficiency
38:40 Significant alcohol
1) 21 unit per week male
2) 14 per week famale
For more than 7-10 years
15 % cirrhosis
38:14 Cirrhosis causes
1) amidrone
2) methotrexate
Hepatitis
1) att
36:29 metabolic disease
1) obesity
2) hypertension
3) dyslipedima
4 ) dm
Associate with NASH
22:37 melena : black colour , tur like blood default to flash..
24:28 hemachygia : frank blood in stool .. low transit time...
36:29 metabolic disease
1) obesity
2) hypertension
3) dyslipedima
4 ) dm
Associate with NASH38:14 Cirrhosis causes
1) amidrone
2) methotrexate
Hepatitis
1) att
22:37 melena : black colour , tur like blood default to flash...
24:28 hemachygia : frank blood in stool .. low transit time...
20:23 cardiac causes of ascites
1) Right side heart failure
2) constrictive pericarditis
3) Restrictive cardiomyopathy
10:41 *ascites precox*
Ascites secondary to constrictive pericarditis typically occurs before the edema of the lower limbs
1) tb peritonitis
2) malignant peritonitis
3) Pancreatic peritonitis
4)budd chiari syndrome
1:21:48
Tender hepatomegaly
Hepatitis
Hcc
Abscess
RHF
Hepatic infract
Acute budd chary..

[@thebigbull7309]

1:36:48
Flapping tremor
1) hepatic enchaphalopaty
2) uremic enchaphalopaty
3) type 2 respiratory failure

[@thebigbull7309]

20:23 cardiac causes of ascites
1) Right side heart failure
2) constrictive pericarditis
3) Restrictive cardiomyopathy

[@thebigbull7309]

10:41 *ascites precox*
Ascites secondary to constrictive pericarditis typically occurs before the edema of the lower limbs
1) tb peritonitis
2) malignant peritonitis
3) Pancreatic peritonitis
4)budd chiari syndrome

[@thebigbull7309]

54:26 tachypnea
1) massive ascites
2) plural eiffusion
3) hepatopulmonary syndrome : breathless in sitting position : platypnea

[@thebigbull7309]

52:31 pluse : High volume bounding pulse
Tachycardia: Upper gi
Blood pressure message : sitting position...

[@thebigbull7309]

36:29 metabolic disease
1) obesity
2) hypertension
3) dyslipedima
4 ) dm
Associate with NASH

[@PrasannaKumar-od2wr]

Very nice discussion..... thank you dr.archith sir for your excellent discussion and the presentation also good by student

[@budding_doctor]

Fortunate to have such mentor ❤️

[@thebigbull7309]

42:40 inborn error of metabolism
1) Willson disease
2) hemochromtatosis
3) alpha 1 antitrypsin deficiency

[@thebigbull7309]

22:37 melena : black colour , tur like blood default to flash...
24:28 hemachygia : frank blood in stool .. low transit time...

[@thebigbull7309]

38:40 Significant alcohol
1) 21 unit per week male
2) 14 per week famale
For more than 7-10 years
15 % cirrhosis

[@abhisheksingh5141]

1:22:30 tender liver on palpation in
1. Acute Hepatits
2. HCC
3. Liver Abscess
3. RHF
4. Liver infarct
5. Acute Bud Chiari Syndrome

[@abhisheksingh5141]

1:41:48 Complications of Liver Cirrhosis -
Portal HTN
HCC
Hepatic Encephalopathy
SBP
HRS
HPS
Coagulopathy Thrombocytopenia
Cirrhotic Osteodystrophy
Portal Gastropathy
Porto Pulmonary HTN
Hepatic Hydrothorax
**Portal Vein thrombosis is seen in HCC

[@thebigbull7309]

1:00:17 tremor: to or for movement due action of agonist and antigonist muscle action.
Flapping tremor: one way or jercy movement... negative myoclonus...
Check it outstretched hand , proximal part of lower limb

[@nadeem3rashid]

Great mentor!! Very humble !

[@thebigbull7309]

38:14 Cirrhosis causes
1) amidrone
2) methotrexate
Hepatitis
1) att

[@thebigbull7309]

1:03:26 spider nevi
Upper chest
Bsck distribution of svc
With pin head or glass silde

[@pullaiahcreatechannelbcm5447]

Thanks for giving good medical education
Please make the audio clear

[@thebigbull7309]

58:18 rapid appear ( hepatocellular failure)
Ictrus
Spider nevi

[@mansoorahmad8409]

Dr Archit a great teacher.
Dr Kishar Rao a nice man ♥️

[@successmedicalmnemonics2342]

thank you sir..you explain so nicely and easy way.

[@AryanChaudhryOfficial]

Greatttt❤❤

[@karthigap5774]

Thank u sir.. For the wonderful explanation

[@user-rp8hv1sw4y]

Thank you siiirrrr❤

[@ramupothula]

Very nice discussion

[@Docdoc-p2d]

Thanks a lot.....much needed

[@ajji555]

Thanks a lot sir 😊🙏

[@nsas955]

Thank you very much for this beautiful complete and generous presentation. Yet I wonder why you did nor mention the role of octreotide in the treatment of portal hypertension and the role of CCB also?!

[@niraliparmar1266]

Thank you so much sir ...the session was very helpful....

[@thebigbull7309]

1:02:24 parotid swelling
Dupuytryen contraction seen in alcoholic paitent

[@saralade1676]

Thankyou very much sir

[@asadmasood6692]

Thank you very much sir. Very nice discussion

[@thebigbull7309]

1:41:41
Not spleenomegy
Means there is upper gi blood

[@Rizwandoc89]

Thank you sir

[@thebigbull7309]

59:09 resting coarse tremor of hand due alcohol intake

[@srikrishnareddy879]

Thanq sir 🙏

[@shubhammalode7014]

Thank u

[@happiness965]

Sir what do we call the type of liver failure where cirrhosis is the cause but the duration of symptoms like abdominal distension,jaundice , swelling of legs are of 2 weeks duration(the duration is too less to be called chronic liver disease)

[@rohithkumar3480]

Fulminant?

[@paraspatel8464]

Thanks a lot

[@fahadkhamis749]

Very nice

[@gaurishbr3269]

❤️🙏

[@akashjain8189]

Hello white army .. can you please share the ppt of case presentation of hepatosplenomegaly and ascites in tellygram ..because what you have sent previously is not opening..🙏🏻🙏🏻

[@SandeepKumar-cr4ur]

Rename it as -- .pdf infront of it

[@LEARNING-MEDICAL-EDUCATION]

How does high color urine looks? what is high color

[@praveenanand6048]

Plz improve sound quality 😢

[@603jalwaman8]

Anorexia is seen in malignancy tuberculosis chronic disease

[@SagarKumar-zo9yg]

Can you avail ppt of this case, please

[@saifullah9479]

Sound problem

[@harisimhagodha806]

Sir ,How to clinically say patient has ascites

[@dr.shadmbbsdphmasco]

Proper history is important and assess the saag ratio to find out what's causing it exactly and know whether its transudate or exudate

[@mohammedsuhaib7968]

Thank you sir

[@namithapm-eb8yq]

Thank you sir