Clinical Examination of Cirrhotic Liver Disease - Final Year MBBS Practical Case
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- เผยแพร่เมื่อ 29 ก.ย. 2024
- Clinical examination & discussion videos with a focus on MBBS final year practical exams.
Find more cases in Marrow app. Go to Settings - Courses - Final Year Practical Case Discussions.
![[TH] FS vs BME - VCT Ascension Pacific - Lower Bracket Final](http://i.ytimg.com/vi/wnygqsR2Fig/mqdefault.jpg)
My heart feels so sad for that patient... thanks to him for allowing us to learn from him💜
I feel super bad aswell. This guy has a story of struggle that has led to this point with all the wrong choices he made under tough times. It sucks but life is sad like this.
@@Randomyoutubecommentercould be genetic it's not always about bad choices I have seen many alcoholics who have easily recovered liver problem and have lived a long and healthy life.
@@Randomyoutubecommenterit can be NAFLD based cirhosis which causes steatohepatitis also .. so not always drinking
😢❤
Ffaaee
Honestly speaking i completed my MD medicine , but still not much clear about shifting dullness ,,, today u illustrated it very well
Excellent presentation Dr. Akshay! All students must have benefited a lot 👌
Ya baby LEGENDARY Ramaiah medical college professors ! 😍
MS Ramaiah?
Yes! 😄
Too good💯
Awesome presentation....
Thankyou so much sir
What's happaned of this paisent?
👍👍👍sir,full CNS examination too
Very informative sir ji
Super sir
More video like this ❤️❤️❤️
Very useful
Superb ! 💙🐢
are bhai ji aap idhar
@@alien8982 tu kya kar raha hai idhar.. alien.. ja space meh ja..😄🤣🤣
V
Z. Zozmz zizsmw sosmsosmssmoss paso🤣😙🙃🤪😙🤣🟥😙📞🤪🤪🤣😙🙃😙🔥🤪🥳😗🥳🙃🤭🙃🥳🙃🤭🙃😜🙃🥳🙃🥳🙃
@@ismaelamaro2451 mad person ✅
Should have had this during my mbbs. Would have helped so much😪 either way, such a good video!
👍👍
Its a humble request to marrow, please keep making such more videos.
Thanks a lot for putting this up.
I wish speedy recovery for that patient, for allowing us to learn.
Yes please
Dr. Akashy was one of my professors in the 4th year, and I still foundly remember that Sir would generally teach us GIT system. I highly Dr. Akashy videos.
Good luck studying.
Saviour..Please uplaod more such examination on marrow🙏😇
Very Sad 😢, that’s a lot of fluids , poor patient he most be very uncomfortable ❤️🙏🏽🙏🏽wish him the best ❤️🙏🏽🙏🏽
Awesome video! I received my new liver in 2019. Praying for your patient. God bless
انت زرعت كبد ؟
so refreshing to see and hear a Dr. that uses real skill on the human body instead of initially sending us of for countless often needless expensive mechanical testing that is not always accurate and may miss vital information. Being aware of physical and emotional cues from the patient can go along way in the diagnosis. Thank=you both/all so much for this video.
Its prognosis its terminal 💔
yes, sadly I understood this as well@@Aliabas-ts1ck
this is of grt help sir❤️...Please upload more videos of clinical examination of cns, cvs,hemat
You need to subscribe to marrow plus extra 2000 on plan c
Officially i m a marrowian they provided everything in a easy manner finally i can understand everything easily.❤️
Best Eva watched clinical video....student of marrow ....love from kashmir to marrow family ,users and mostly to the presenting doctor and humble patient...
Thank you so much Sir tomorrow we have our practical exams & this helped a lot!😊
Very well made video and lecture! As a teacher myself, i can learn definitely the ways to teach more effectively!
He is from Karnataka 💛❤️ .... It was truly very informative thanks sir
How the patient /person is bearing such heavy accumulation of fluid inside?
It is the equivalent of having a pregnant belly - very uncomfortable.
They can drain most of the fluid out, although it returns.
So much information in just 26 minutes video, thank you sir. Keep it up.
Akshay Sir! Thank you so much. You are the best, very well explained. Please bring out more videos.
My niece abused alcohol. Now in hospital orange, swelled and can't find where she's bleeding.. I feel so helpless 😣
How is your neice now? Hope they found the source of bleed. Was it due to Esophageal varices or was it Mallery weis tears. Praying for you.
@Pardesifoodshorts
She died within 5 weeks after finding out she had cirrhosis of the liver. 🙏❤️🙏 sorry for my blabbering .
We want more examination video like this🙏.
Excellent exam and explanation of the patient illness. The patient is awesome.
That was so helpful🙏🙏🙏
What an amazing way of learning. You are blessed. You have mastered the art of percussion.
One thing that I would also add would be Pruritis and scratch/bruise marks. You did mention systemic anastomosia but as medical students , they expect us to say Caput Medusa etc
But very informative. Thank you Dr. Sab . This was a treat to watch. Patient didn't look too good but you treated him with respect and were gentle.
Sir if plef is on right side why does he feel breathlessness on left lying position
Because the healthy lung breathing will be reduced further comprising overall breathing.
Shouldnt the lower limbs be flexed while doing abdominal examination?
Yes we should
ಸರ್ ನಿಮಗೆ ಧನ್ಯವಾದಗಳು ಆದರೆ ನಿಮಗೆ ಕನ್ನಡ ಬರುವ ಹಾಗಿದ್ದರೆ ಸ್ವಲ್ಪ ಮಟ್ಟಿಗೆ ಕನ್ನಡದಲ್ಲಿ ಎಕ್ಸ್ಪ್ಲೈನ್ ಕೂಡ ಮಾಡಿ
Shoutout to the patient, Wishing you a speedy recovery ❤️
well... unless he gets a liver transplant... odds are... not good :(
It's sad but, the patient already malnourished and oedema is advanced, that's the stage it's hard, coz process will be very complicated like you have to take patient to kidney specialist, most patient requires dialysis, donate blood etc
@@shaunghishing9965
I wish we could get an update on this case..
@@friedchicken1 can a 72 year old woman get a liver transplant done??
@@shiwangee One should always talk to their doctor but I'd say yes
this is gold.. nobody provides good actionable information on the internet about these diseases
Thanks for explanation . May I ask this question ? Is this patient still alive ?
how can you have both shifting dullness and fluid thrill in the same patient?
thank you for this great demonstration but I'd like to suggest doing auscultation prior to palpation and percussion because it will alter the result of auscultation. in examining the abdomen, auscultation should be done before percussion and palpation.
Poor guy, the pressure on his stomach must be awful.
i have this too, and it is very bad. the pressurize on the lungs is the worse.
@@Ariyan2O12Hey how are you now ? Are you doing good? For how long did you have distended belly?
Where to find these case presentation videos on marrow app? I couldn't find them.
I hope your patient did not understand nothing what you said it is so cruel. You think you are the best FU...k
Hbv chronic cure possible? Medicine when expect?
can he with this stage of the cirrhosis be cured? It looks VERY SERIOUS STAGE.
Amazing!!!plz upload more
such a dedicated doctor.
مابيهم خير بكل الاحوال يموتونه
Is this patient cured ? Type of treatment is transplant or medicine?
My father is also suffering from Liver cirrhosis from last 2yrs with ascetic tap every 15 days 😢.
I am expecting that you had the consent of the patient before recording.
I would say the patient is aware of there being someone recording it lol
@@Amanda-fy3us Awareness and consent are different things.
@@bhanuprataprahi1693 don't be oversmart, this is uploaded by Marrow, do you even know who they are? Do you think they won't take the consent. They aren't dumb like you!
Areh ascites fluid ko fatafat bahar nikalo na. Dekh kar raha nehi jata in this uncomfortable position of an old man.
Nicely explained sir 👏
But not flexed the leg while palpating sir .can we palpate so sir!
I have non alcoholic cirrhosis of the liver that was very informative female 64 years old 🙏
Its that man again...kane william baba...good players perform at the right moment
Great 👍 Information to Know Thank you very much. Prayers and Speedy recovery for the Patient as well.
Our professor told we won't get shifting dullness and fluid thrills at same time😶
Such a great content 👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍
Plz put all the examinations sir...it's very helpful ❤️
Thumb has its own pulse...then shouldnt we use fingers to count pulse whether carotid or radial etc
Pls do upload more clinical examination videos. It wud b very usefull for final year students
would really appreciate if someone could clear this doubt wouldn't it be tachycardia because hypoalbumin state in the blood
Please upload CNS and CVS examinations!🙏🙏
Thank you so much sir . Can we get such videos on other examinations too asap?
do we need to do shifting dullness if fluid thrill is already present/ demonstrated @Marrow
We should always look for icterus in the presence of sunlight.
2 liver failure aanuchina ...evlo days iruppanganu sollunga pls....reply
Thank you so much! Please do more of this..
Amazing demonstration sir….
Please keep posting such videos..
Sir,is it possible have both fluid thrill and shifting dullness in a patient?
Thankyou for such simple explanation, and Thankyou to the patient who’s helping us learn from this! God bless
His Whites of eyes are white is he is not having jaundice?
Allah is patient ko sayhat day ju ap ka object hy is waqt ameen
Thanks I have practicals upcoming weeks
Why it's not appropriate to measure bmi in ascites patient?
Superb Video,Sir,Explained In Detail,Please Do A video on Neurological Examination ,It will be helpful
yyy a
Sir my mother suffering in liver cirrhosis last stage please guide and Sugest treatment my mother feels pain in right sholder near neck
هل حصلت دواء ؟
More videos like this would be helpful
This guy's gamma glutamyl transferase must be thru the roof
Karnataka .....!
Felt happy to hear sir
Super presentation
Only 15days.. My father was liver serisos
This was too informative Sir❤
Sequence: Inspection->auscultation
->percussion->palpation.
Excellent video so well explained and dr extremely knowledgable. I do hope the patient is doing ok
That poor gentleman! He must have been exhausted after this tutorial. I’m curious, can fluid be drained from his abdomen
Yes thats called paracentesis, but typically patients will be given diuretics to help drain the fluid.
@@cheerleaduhhlove6697 كله لايفيد يموتونه بالبزل
Pp
What a doctor👌👌👌👍👍👍
What an experience u have
Wow
Доктор ты дочкой договоришься пациент загнаться, вставляй быстрей ему трубку в пузо и выкачивай жидкость.
My father had same problem He expired ...
VERY WELL DEMONSTRATED
Superb sir...thank you very much sir.. Well demonstrated all peripheral signs of liver disease.. What's the etiology in this case? Wishing for more such videos🙏
You should respect privacy for patient
What is the treatment these typ of patients, and what is the medicine?
Thank you sir everything was explained in very systematic manner love you and your explanation.
Good job Dr. Akshay, best wishes from crfc. Kalpayacho you know the drill
idk what im doing here,but im interested
Is it becoz too much alchohol or beer
Why do all doctors have the same aura 👀?
Sir please upload for cns examination
One should stop consuming Alcohol. We need to create awareness.
Not just alcohol, but an excess of sugar in any form. Cirrhosis can be non-alcoholic.
Livers can regenerate, but do doctors communicate to patients what they need to do to help the liver regenerate?
Thank you for the Informative video. I have a question - why is it recommended to check the pulse with the thumb? I thought our thumb itself has a pulse and it will make it harder to count the pulse accurately.
Nam kannada nam Karnataka ❤️