Clinical Examination of Cirrhotic Liver Disease - Final Year MBBS Practical Case

[@thejanetflights7396]

My heart feels so sad for that patient... thanks to him for allowing us to learn from him💜

[@Randomyoutubecommenter]

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.

[@shakship3103]

​@@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.

[@babyluvv777]

@@Randomyoutubecommenterit can be NAFLD based cirhosis which causes steatohepatitis also .. so not always drinking

[@JdjIrhe]

😢❤

[@ridabari238]

Ffaaee

[@sujithkumar7000]

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.

[@manjirishelar5647]

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.

[@srushtipatil6739]

Yes please

[@manishaent6872]

Excellent presentation Dr. Akshay! All students must have benefited a lot 👌

[@blackdogfive]

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.

[@Aliabas-ts1ck]

Its prognosis its terminal 💔

[@blackdogfive]

yes, sadly I understood this as well@@Aliabas-ts1ck

[@medtalks4414]

Best Eva watched clinical video....student of marrow ....love from kashmir to marrow family ,users and mostly to the presenting doctor and humble patient...

[@thetransferaccount4586]

this is gold.. nobody provides good actionable information on the internet about these diseases

[@alokkmr78]

Honestly speaking i completed my MD medicine , but still not much clear about shifting dullness ,,, today u illustrated it very well

[@TM-fj4tr]

Awesome video! I received my new liver in 2019. Praying for your patient. God bless

[@عشقالربيع-خ5ن]

انت زرعت كبد ؟

[@minajhoond8208]

Should have had this during my mbbs. Would have helped so much😪 either way, such a good video!

[@shimsharaghavendra2086]

He is from Karnataka 💛❤️ .... It was truly very informative thanks sir

[@Boneteacher]

Superb ! 💙🐢

[@alien8982]

are bhai ji aap idhar

[@h.k347]

@@alien8982 tu kya kar raha hai idhar.. alien.. ja space meh ja..😄🤣🤣

[@lindaanderson5913]

V

[@ismaelamaro2451]

Z. Zozmz zizsmw sosmsosmssmoss paso🤣😙🙃🤪😙🤣🟥😙📞🤪🤪🤣😙🙃😙🔥🤪🥳😗🥳🙃🤭🙃🥳🙃🤭🙃😜🙃🥳🙃🥳🙃

[@h.k347]

@@ismaelamaro2451 mad person ✅

[@85musicmaniac]

Very well made video and lecture! As a teacher myself, i can learn definitely the ways to teach more effectively!

[@Pardesifoodshorts]

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.

[@doctord7171]

Shoutout to the patient, Wishing you a speedy recovery ❤️

[@friedchicken1]

well... unless he gets a liver transplant... odds are... not good :(

[@shaunghishing9965]

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

[@doctord7171]

@@shaunghishing9965 I wish we could get an update on this case..

[@shiwangee]

@@friedchicken1 can a 72 year old woman get a liver transplant done??

[@friedchicken1]

@@shiwangee One should always talk to their doctor but I'd say yes

[@rosannacellini2158]

Very informative and interesting. My father died from liver complications, so this hits home. Thank you Doctor and also your patient. God bless.

[@johnthomashefsky9257]

My father was just diagnosed with end stage liver disease. His tummy has to be drained now, hepatic encephalopathy. It just is so sad to watch. I mean..... What kind of life expectancy should we be prepared for? Im new to all of this with him. The Drs. Dont tell us much at all and are very ignorant

[@zevusRs]

@@johnthomashefsky9257 Sorry to hear about your father’s situation, John. What I can share with you about my father’s passing is life expectancy is about 2 years. He had ascites from alcohol abuse for decades. Mid 2020 was the first time he went to have his abdomen drained of fluids. Ascites is a symptom of decompensated cirrhosis. Liver transplant would be best solution at that point. Wish you and your father the best.

[@johnthomashefsky9257]

@ Walt D. Unfortunately dad has passed. In Febuary! Couldn't believe it. He walked into the hospital near normal, 12 hours later he was dead.

[@dr.bidisha]

Thank you so much Sir tomorrow we have our practical exams & this helped a lot!😊

[@iqrafatima.ch27]

So much information in just 26 minutes video, thank you sir. Keep it up.

[@anudeepkadam7370]

Saviour..Please uplaod more such examination on marrow🙏😇

[@drshwetasingh7599]

The pattern of examination is a little different from what us shown in the video but overall it was fine.. 👍👍 Some small errors which I would like to point out - 1) check for pallor and icterus simultaneously in both eyes at once and not one at a time as shown in the video 2) always flex legs to examine the abdomen 3)confirm pallor in tongue also 4) stethoscope seedha laga lena

[@survivorfanpage3441]

Thank you to this patient for letting us learn from his belly. I hope he gets better soon

[@monaleescott4203]

Excellent exam and explanation of the patient illness. The patient is awesome.

[@TheMistaell]

That was so helpful🙏🙏🙏

[@hildaaybar9042]

Very Sad 😢, that’s a lot of fluids , poor patient he most be very uncomfortable ❤️🙏🏽🙏🏽wish him the best ❤️🙏🏽🙏🏽

[@Metaphysicse]

Thankyou for such simple explanation, and Thankyou to the patient who’s helping us learn from this! God bless

[@VisualAiz]

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.

[@peterperker2462]

We want more examination video like this🙏.

[@jakelance6]

Literally didn't understand a single word you said! Thank you.... come again!!!

[@shivanichhabra1166]

mere dada ji ko v liver ki problem hae. jabse unhone Dr. Vikram Chauhan se treatment lena start kiya hae. abhi vo kafi better feel krte hain. aur unki condition mein bhi boht sudhar hae.

[@christinemoore6911]

Excellent video so well explained and dr extremely knowledgable. I do hope the patient is doing ok

[@calvinbealer7264]

Great 👍 Information to Know Thank you very much. Prayers and Speedy recovery for the Patient as well.

[@AnnePybus]

I have non alcoholic cirrhosis of the liver that was very informative female 64 years old 🙏

[@rockinbogie]

Ya baby LEGENDARY Ramaiah medical college professors ! 😍

[@prajwalvs1659]

MS Ramaiah?

[@kaushalnandi854]

Yes! 😄

[@rishiharith]

Too good💯

[@ayushiashu5082]

this is of grt help sir❤️...Please upload more videos of clinical examination of cns, cvs,hemat

[@wild_wild_AF]

You need to subscribe to marrow plus extra 2000 on plan c

[@MBBSAIIMSONIANRISHIKESH]

Officially i m a marrowian they provided everything in a easy manner finally i can understand everything easily.❤️

[@queenorca1171]

This video is very helpful in understanding what my 32yr old who died of cirrhosis experienced. Thank you!

[@cyrus7241]

That’s horrible I’m sorry. Didn’t know cirrhosis could take someone at 32 :(

[@mrmage1989]

@@cyrus7241 my uncle 32 years old died on 9th December

[@jaishreerammahadev]

​@@mrmage1989 my father have liver cirhosis what we can do for treatment please reply 😢

[@عشقالربيع-خ5ن]

@@jaishreerammahadev هل حصلت على علاج

[@deviel2787]

​@@jaishreerammahadevHow is he now?? Any treatments ? For how long did he have distended belly?

[@MBBSAIIMSONIANRISHIKESH]

Thank you sir everything was explained in very systematic manner love you and your explanation.

[@Kalicharanmv]

Akshay Sir! Thank you so much. You are the best, very well explained. Please bring out more videos.

[@harishm194]

Plz put all the examinations sir...it's very helpful ❤️

[@mrmoon1482]

Sir if all doctors was like you, the world would be a better place,

[@confusedgenius2927]

Thanks I have practicals upcoming weeks

[@DrSnp]

Karnataka .....! Felt happy to hear sir Super presentation

[@streetgods7347]

What a doctor👌👌👌👍👍👍 What an experience u have Wow

[@mangohai4145]

Sequence: Inspection->auscultation ->percussion->palpation.

[@drdcrammahali9637]

Very good clinical examination &Demostration .Thanks.

[@deepthi1283]

Pls do upload more clinical examination videos. It wud b very usefull for final year students

[@antimatter2840]

Amazing demonstration sir…. Please keep posting such videos..

[@onkargotipamul1782]

This was too informative Sir❤

[@outsider-ey1rs]

Thank you so much! Please do more of this..

[@jaidul61]

Its that man again...kane william baba...good players perform at the right moment

[@ahphong2904]

Question of privacy of patient and doctor is well and truly out the window.

[@Kkssrr010]

Nicely explained sir 👏 But not flexed the leg while palpating sir .can we palpate so sir!

[@RithwikNeurovideos]

Superb Video,Sir,Explained In Detail,Please Do A video on Neurological Examination ,It will be helpful

[@MariaEduarda-oe1gj]

yyy a

[@parambakshi858]

Helpful video! Wishing the patient a speedy recovery!

[@shashankyerdoor]

Good job Dr. Akshay, best wishes from crfc. Kalpayacho you know the drill

[@rkbbhatia9679]

Thanks for explanation . May I ask this question ? Is this patient still alive ?

[@PrasannaJanadri]

sir please do RS CVS and CNS examination too, btw loved the way of your approach sir

[@eshasubba6603]

Thank you! Looking forward to more vedios like this

[@aniqamunawar9447]

Very well explained, thanks sir

[@ceyloncusine4878]

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.

[@amulyacharan8677]

Wishing that patient speedy recovery

[@drkpk384]

thx dear ..plz do short cases long cases for fcps exam ,i m sharing it whatsapp group ,will gain lot of followers

[@billel2guns790]

So beneficial .. thanks from algeria

[@Luladasilva217]

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🙏

[@medicoshub2082]

Such a great content 👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍

[@tubaafxal6102]

such a dedicated doctor.

[@عشقالربيع-خ5ن]

مابيهم خير بكل الاحوال يموتونه

[@dryaseen4427]

he's so best he shd be medicine teacher on marrow

[@h.k347]

Nice.. reminded of my mbbs medical college days

[@williamliddle4279]

CANT DRAINING THE FLUID HELP IN RECOVERY?

[@pgexm]

Very helpful and easy explanation

[@kumarayanghosh1837]

More videos like this would be helpful

[@AmbersCuisine.]

Allah is patient ko sayhat day ju ap ka object hy is waqt ameen

[@musicmedia-official3115]

Sir u r explain really very nice sir thankyou so much for teach.

[@kimtae6570]

I havent watched such a well explained tutorial❤

[@remarkablyshiny]

how can you have both shifting dullness and fluid thrill in the same patient?

[@vaibhav1374]

We want more videos like this great presentation of case

[@abhishek3978]

This uncle has definitely passed away . Cause once you have Asceitis , it will lead to HE .. which means death with in a year or so . My bua had it and she passed away few months back and liver cirrhosis is worst .. you see them suffering every day every minute

[@gilbertcheruiyot7815]

awesome video,add us more on cvs,cns

[@donnagpalk912]

My niece abused alcohol. Now in hospital orange, swelled and can't find where she's bleeding.. I feel so helpless 😣

[@Pardesifoodshorts]

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.

[@donnagpalk912]

@Pardesifoodshorts She died within 5 weeks after finding out she had cirrhosis of the liver. 🙏❤️🙏 sorry for my blabbering .

[@dr.ankitapattanayak2848]

Thank you so much sir . Can we get such videos on other examinations too asap?

[@rajendrachopra3000]

How the patient /person is bearing such heavy accumulation of fluid inside?

[@oliviamartini9700]

It is the equivalent of having a pregnant belly - very uncomfortable. They can drain most of the fluid out, although it returns.

[@ServiceDogRosie]

find the carotid artery but use the index and middle finger due to the thumb having its own palpable pulse and you may accidentally count your own pull on your patient....

[@Dogtok22]

thank you dr. and the patient ❤️ speedy recovery

[@himanshukaushik3838]

Plzz make more such videos for medicine cases 🙏🏻🙏🏻🙏🏻

[@29sagittarius51]

While your thumb is good for many things, taking your pulse isn't one of them. Unlike the other four digits, the thumb has its own exclusive artery

[@naveenkapoor2627]

My father is also suffering from Liver cirrhosis from last 2yrs with ascetic tap every 15 days 😢.

[@santhoshpatil4534]

Very few videos do justice to bedside teaching. Good work dr

[@emin3m851]

do we need to do shifting dullness if fluid thrill is already present/ demonstrated @Marrow

[@SaidulIslam-dv5pi]

Thank you so much for details explanation.

[@nurajmir9682]

Is this patient cured ? Type of treatment is transplant or medicine?

[@tshepangmasemola8229]

Gracias 😊 por explicarnos lo más sencillo posible 👌🏾👌🏾👌🏾

[@manika_agarwal]

Amazing!!!plz upload more

[@92rushikeshkshirsagar48]

Very good clinical demo sir

[@bhavishasauba9775]

this was actually very good

[@ahmedalbasri7280]

From iraq /karbalaa ..thanks so much

[@rajsagar6662]

Wow...Medicine is so interesting 🤩🤩

[@CaffeniatedDoctor11]

Thank you for such detailed explanation sir.Cleared so many doubts

[@harleenkaurrandhawa442]

Thumb has its own pulse...then shouldnt we use fingers to count pulse whether carotid or radial etc

[@lefthandedsurgeon]

👍👍

[@kyazeKaliffani]

Dr. U hv made life easy😅

[@erzsebetnilsson580]

can he with this stage of the cirrhosis be cured? It looks VERY SERIOUS STAGE.

[@seventhedition3504]

Shouldnt the lower limbs be flexed while doing abdominal examination?

[@sangitasubba4421]

Yes we should

[@ayushigupta7632]

Where to find these case presentation videos on marrow app? I couldn't find them.