HEPATOSPLENOMEGALY Clinical Case Presentation

[@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]

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]

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]

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

[@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...

[@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]

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

[@pullaiahcreatechannelbcm5447]

Thanks for giving good medical education Please make the audio clear

[@nadeem3rashid]

Great mentor!! Very humble !

[@thebigbull7309]

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

[@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

[@mansoorahmad8409]

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

[@thebigbull7309]

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

[@successmedicalmnemonics2342]

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

[@karthigap5774]

Thank u sir.. For the wonderful explanation

[@thebigbull7309]

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

[@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?!

[@Docdoc-p2d]

Thanks a lot.....much needed

[@niraliparmar1266]

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

[@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?

[@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

[@AryanChaudhryOfficial]

Greatttt❤❤

[@thebigbull7309]

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

[@ramupothula]

Very nice discussion

[@praveenanand6048]

Plz improve sound quality 😢

[@user-rp8hv1sw4y]

Thank you siiirrrr❤

[@ajji555]

Thanks a lot sir 😊🙏

[@asadmasood6692]

Thank you very much sir. Very nice discussion

[@LEARNING-MEDICAL-EDUCATION]

How does high color urine looks? what is high color

[@saralade1676]

Thankyou very much sir

[@thebigbull7309]

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

[@Rizwandoc89]

Thank you sir

[@SagarKumar-zo9yg]

Can you avail ppt of this case, please

[@thebigbull7309]

59:09 resting coarse tremor of hand due alcohol intake

[@saifullah9479]

Sound problem

[@603jalwaman8]

Anorexia is seen in malignancy tuberculosis chronic disease

[@paraspatel8464]

Thanks a lot

[@shubhammalode7014]

Thank u

[@fahadkhamis749]

Very nice

[@srikrishnareddy879]

Thanq sir 🙏

[@gaurishbr3269]

❤️🙏

[@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