SlideShare a Scribd company logo
1 of 21
Download to read offline
Ques. 1 :
The clinical significance of Spider Angiomatoes
and other condition that you can see Spider
Angiomatoes.
Ans :
Correlate C severity of Liver disease.
Pregnancy & Malnutrition
Cause : ↑ oestradial & free Testoster one.
Ques. 2 :
What are the Nail changes that occur in
cirrohosis.
Ans :
1. MUEHRCKE’S NAIL
Paired Horizontal white bands separated by
normal colour.
2. Terry’s Nail
Proximal 2/3 of Nail plate appears white,
Distal 1/3 is red.
Probable cause : ↓ serum Albumen
Ques. 3 :
Caput Medusae when do you get and what are
the veins taking part in the shunt.
Ans :
Cirrhosis of liver with portal hypertension.
Portal venous system may be shunted through
the periumbliul veins into the umblical vein then
to the abdominal vein causing them to become
prominent.
Ques. 4 :
Cause of Parotid Gland Enlargement
Ans :
Due to fatty infiltration, fibrosis & edema :
Not due to ↑ function of gland.
Ques. 5 :
What vaccine in chromic liver disease is indicated?
Ans :
According to ACIP :
Hepatitis ‘A‘ Vaccine :
Immun Genicity : 95% of liver disease shows sero
conversion compared to healthy – 98%
Safety :
Well tolerated no special precaution needed
Dose : Two Doses.
Hepatitis ‘B’ Vaccine :
Recombinant HBV Vaccine
Dose : 0, 1 & 2 months
Serco conversion :
After 1st dose
Safety 94% :
No adverse events
Hepatitis ‘C’ vaccine :
No prophylactic or Therapeutic vaccine
Pneumococcal vaccine
Influenza vaccine
Diphtheria and tetanus
Meningococcal and Homophilous
influenza vaccine
Ques. 6:
Cirrotosis of liver C mild portal Hypertension,
Hepatitis ‘B’ carrier and Hepatitis ‘C’ desire to
have pregnancy - what advise you will give ?
Ans :
1. Do upper endoscopy to look for varices before pregnancy.
If present, pregnancy is ↑ High risk for Hemorrhage.
Prophylaxis with B Blocker may be continued during
pregnancy New Borns should be monitored for Hypoglycemic
and Bradycardia .
2. spontaneous rupture of spleenic artery may occur during
pregnancy.
2. Reactivation of the virus and exacerbation of the disease during
or after gestation are uncommon. Placenta Forms an excellent
barrier against this virus. Major problem during delivery
exposure to maternal blood in the birth caned.
3. Hepatic ‘C’ uneventful pregnancy
Ques. 7 :
What is the mechanism for vasodilatation in PHT
Ans :
↑level of circulating Vaso Dilators.
Nitric Oxide is the primary mediators.
vasodilatations in cirrohosis due to No synthase
activity ↑
Ques. 8 :
Hall mark of Hepoto Renal Syndromes
Ans :
↑Renal vaso constrictions due to RAAS and SNS
↓ Peripheral vascular resistance
HPE Kidney is normal
Ques. 9:
What do you mean by KamilSevela Technique ?
Ans :
• New Tech to measure the Borders of liver
• Place the stethoscope on the xiphoid
process Scratch from below the Rt. nipple
/ Breast you clearly here the liver
borders.
• First sound is when the liver appears &
when the sound disappears it is the end
of the liver.
Ques. 10 :
Explain the Special Maneuvers in Abdominal
Examination ?
Ans :
Murphy’s Sign (Cholycystitis)
Rebound Tenderness
Psoas Sign
Obturator Sign
Rovsing Sign (Pain in the Rt. Iliac Fossa on Palpation
of Lt. Side of Abdomen) (Referred Tenderness)
Carnett’s Sign (Pain when Tensing the ABD.
Wall Mass)
Pata Fros Sign (Pain when the pt is asked to Cough)

More Related Content

What's hot

Combined Clinic (Cirrhosis of Liver)
Combined Clinic (Cirrhosis of Liver)Combined Clinic (Cirrhosis of Liver)
Combined Clinic (Cirrhosis of Liver)Kyaw San Lin
 
Cirrhosis and portal hypertension in children
Cirrhosis and portal hypertension in childrenCirrhosis and portal hypertension in children
Cirrhosis and portal hypertension in childrenLm Huq
 
CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...
CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...
CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...Goutham Kondeti
 
Cirrhosis of Liver
Cirrhosis of LiverCirrhosis of Liver
Cirrhosis of Liverowshidha
 
Chronic liver disease
Chronic liver diseaseChronic liver disease
Chronic liver diseasePuneet Shukla
 
Uremia. DAWFPIGZ
Uremia. DAWFPIGZUremia. DAWFPIGZ
Uremia. DAWFPIGZalydelacruz
 
Liver cirrhosis, Dr. sharda jain, life care centre
Liver cirrhosis, Dr. sharda jain, life care centre Liver cirrhosis, Dr. sharda jain, life care centre
Liver cirrhosis, Dr. sharda jain, life care centre Lifecare Centre
 
Cirrhosis and Its Complications
Cirrhosis and Its ComplicationsCirrhosis and Its Complications
Cirrhosis and Its Complicationsozererik
 
Chronic Liver Disease in pediatric: a case presentation and discussion
Chronic Liver Disease in pediatric: a case presentation and discussionChronic Liver Disease in pediatric: a case presentation and discussion
Chronic Liver Disease in pediatric: a case presentation and discussionDr Abdalla M. Gamal
 
Liver cysts , Abscesses and Tumors
Liver cysts , Abscesses and TumorsLiver cysts , Abscesses and Tumors
Liver cysts , Abscesses and TumorsMohammedJali
 
Alcoholic liver disease
Alcoholic liver diseaseAlcoholic liver disease
Alcoholic liver diseaseReema Mitra
 

What's hot (20)

Combined Clinic (Cirrhosis of Liver)
Combined Clinic (Cirrhosis of Liver)Combined Clinic (Cirrhosis of Liver)
Combined Clinic (Cirrhosis of Liver)
 
Liver cirrhosis.2018
Liver cirrhosis.2018Liver cirrhosis.2018
Liver cirrhosis.2018
 
Cirrhosis and portal hypertension in children
Cirrhosis and portal hypertension in childrenCirrhosis and portal hypertension in children
Cirrhosis and portal hypertension in children
 
2 cld
2 cld2 cld
2 cld
 
CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...
CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...
CHRONIC LIVER DISEASE WITH PORTAL HYPERTENSION , ESOPHAGEAL VARICES, UPPER GI...
 
A Case of Chylous Ascites
A Case of Chylous AscitesA Case of Chylous Ascites
A Case of Chylous Ascites
 
Cirrhosis of liver
Cirrhosis of liverCirrhosis of liver
Cirrhosis of liver
 
Cirrhosis of Liver
Cirrhosis of LiverCirrhosis of Liver
Cirrhosis of Liver
 
liver cirrhosis
liver cirrhosis liver cirrhosis
liver cirrhosis
 
Chronic liver disease
Chronic liver diseaseChronic liver disease
Chronic liver disease
 
Uremia. DAWFPIGZ
Uremia. DAWFPIGZUremia. DAWFPIGZ
Uremia. DAWFPIGZ
 
Liver cirrhosis, Dr. sharda jain, life care centre
Liver cirrhosis, Dr. sharda jain, life care centre Liver cirrhosis, Dr. sharda jain, life care centre
Liver cirrhosis, Dr. sharda jain, life care centre
 
Cirrhosis and Its Complications
Cirrhosis and Its ComplicationsCirrhosis and Its Complications
Cirrhosis and Its Complications
 
Cirrhosis of liver
Cirrhosis of liverCirrhosis of liver
Cirrhosis of liver
 
Liver cirrhosis
Liver cirrhosisLiver cirrhosis
Liver cirrhosis
 
Cirrhosis Of Liver
Cirrhosis Of LiverCirrhosis Of Liver
Cirrhosis Of Liver
 
Chronic Liver Disease in pediatric: a case presentation and discussion
Chronic Liver Disease in pediatric: a case presentation and discussionChronic Liver Disease in pediatric: a case presentation and discussion
Chronic Liver Disease in pediatric: a case presentation and discussion
 
Liver cysts , Abscesses and Tumors
Liver cysts , Abscesses and TumorsLiver cysts , Abscesses and Tumors
Liver cysts , Abscesses and Tumors
 
Liver cirrhosis
Liver cirrhosisLiver cirrhosis
Liver cirrhosis
 
Alcoholic liver disease
Alcoholic liver diseaseAlcoholic liver disease
Alcoholic liver disease
 

Viewers also liked

Abdomen and liver case presentation by PG
Abdomen and liver case presentation by PGAbdomen and liver case presentation by PG
Abdomen and liver case presentation by PGKurian Joseph
 
Abdomen mc qs with answers key
Abdomen mc qs with answers keyAbdomen mc qs with answers key
Abdomen mc qs with answers keyFarhan Ali
 
Case Presentaion R3
Case Presentaion R3Case Presentaion R3
Case Presentaion R3EM OMSB
 
Urine casts &crystals
Urine casts &crystalsUrine casts &crystals
Urine casts &crystalsKurian Joseph
 
Clinical Examination of Nervous System - PPT
Clinical Examination of Nervous System - PPT Clinical Examination of Nervous System - PPT
Clinical Examination of Nervous System - PPT rajendra deshpande
 
Central Nervous System (CNS) Examination
Central Nervous System (CNS) ExaminationCentral Nervous System (CNS) Examination
Central Nervous System (CNS) ExaminationDrAnkit Srivastav
 

Viewers also liked (11)

Bowel sound
Bowel soundBowel sound
Bowel sound
 
Abdomen and liver case presentation by PG
Abdomen and liver case presentation by PGAbdomen and liver case presentation by PG
Abdomen and liver case presentation by PG
 
Abdomen mc qs with answers key
Abdomen mc qs with answers keyAbdomen mc qs with answers key
Abdomen mc qs with answers key
 
Srmc abdomen
Srmc abdomenSrmc abdomen
Srmc abdomen
 
Trigeminal
TrigeminalTrigeminal
Trigeminal
 
Case Presentaion R3
Case Presentaion R3Case Presentaion R3
Case Presentaion R3
 
Abdomen
AbdomenAbdomen
Abdomen
 
Abdomen exam
Abdomen examAbdomen exam
Abdomen exam
 
Urine casts &crystals
Urine casts &crystalsUrine casts &crystals
Urine casts &crystals
 
Clinical Examination of Nervous System - PPT
Clinical Examination of Nervous System - PPT Clinical Examination of Nervous System - PPT
Clinical Examination of Nervous System - PPT
 
Central Nervous System (CNS) Examination
Central Nervous System (CNS) ExaminationCentral Nervous System (CNS) Examination
Central Nervous System (CNS) Examination
 

Similar to Abdomen and liver case presentations with Question & answers

Bohomolets Surgery 4th year Lecture #3
Bohomolets Surgery 4th year Lecture #3Bohomolets Surgery 4th year Lecture #3
Bohomolets Surgery 4th year Lecture #3Dr. Rubz
 
Budd chiari syndrome
Budd chiari syndromeBudd chiari syndrome
Budd chiari syndromeAli Najat
 
Git Case Budd Chiari3.
Git Case Budd Chiari3.Git Case Budd Chiari3.
Git Case Budd Chiari3.Shaikhani.
 
23204961
2320496123204961
23204961radgirl
 
Cirrhosis of liver.2003 all
Cirrhosis of liver.2003 allCirrhosis of liver.2003 all
Cirrhosis of liver.2003 alltareq chowdhury
 
Nursing Care Plan Essay
Nursing Care Plan EssayNursing Care Plan Essay
Nursing Care Plan EssayLinda Torres
 
Lecture 1-8th-nov-07
Lecture 1-8th-nov-07Lecture 1-8th-nov-07
Lecture 1-8th-nov-07Waleed Rafiq
 
Vascular Diseases of the Bowel
Vascular Diseases of the Bowel  Vascular Diseases of the Bowel
Vascular Diseases of the Bowel Joisy Aloor
 
approach to a bleeding child with blood disorders.pptx
approach to a bleeding child  with blood disorders.pptxapproach to a bleeding child  with blood disorders.pptx
approach to a bleeding child with blood disorders.pptxtsholanangmaoka
 
Preeclampsia Pregnancy-Induced Syndrome
Preeclampsia Pregnancy-Induced SyndromePreeclampsia Pregnancy-Induced Syndrome
Preeclampsia Pregnancy-Induced SyndromeMelissa Dudas
 
Dialysis Is The Process Of Cleansing
Dialysis Is The Process Of CleansingDialysis Is The Process Of Cleansing
Dialysis Is The Process Of CleansingJenny Schickling
 
Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8Dr. Rubz
 
Intestinal ( Bowel) strangulation
Intestinal ( Bowel) strangulationIntestinal ( Bowel) strangulation
Intestinal ( Bowel) strangulationEslam Awesh
 
EHPVO ( Extra Hepatic Portal Vein Obstruction)
EHPVO ( Extra Hepatic Portal Vein Obstruction)EHPVO ( Extra Hepatic Portal Vein Obstruction)
EHPVO ( Extra Hepatic Portal Vein Obstruction)drmanojkurmana
 
Chapter 26 Appendix
Chapter 26 AppendixChapter 26 Appendix
Chapter 26 Appendixhuang.shuo
 

Similar to Abdomen and liver case presentations with Question & answers (20)

Ascites
AscitesAscites
Ascites
 
Bohomolets Surgery 4th year Lecture #3
Bohomolets Surgery 4th year Lecture #3Bohomolets Surgery 4th year Lecture #3
Bohomolets Surgery 4th year Lecture #3
 
Budd chiari syndrome
Budd chiari syndromeBudd chiari syndrome
Budd chiari syndrome
 
Git Case Budd Chiari3.
Git Case Budd Chiari3.Git Case Budd Chiari3.
Git Case Budd Chiari3.
 
23204961
2320496123204961
23204961
 
Case Study
Case StudyCase Study
Case Study
 
Cirrhosis of liver.2003 all
Cirrhosis of liver.2003 allCirrhosis of liver.2003 all
Cirrhosis of liver.2003 all
 
Nursing Care Plan Essay
Nursing Care Plan EssayNursing Care Plan Essay
Nursing Care Plan Essay
 
Lecture 1-8th-nov-07
Lecture 1-8th-nov-07Lecture 1-8th-nov-07
Lecture 1-8th-nov-07
 
CID Y HPP, JUNIO 2023.pdf
CID Y HPP, JUNIO 2023.pdfCID Y HPP, JUNIO 2023.pdf
CID Y HPP, JUNIO 2023.pdf
 
CID Y HPP, JUNIO 2023.pdf
CID Y HPP, JUNIO 2023.pdfCID Y HPP, JUNIO 2023.pdf
CID Y HPP, JUNIO 2023.pdf
 
Vascular Diseases of the Bowel
Vascular Diseases of the Bowel  Vascular Diseases of the Bowel
Vascular Diseases of the Bowel
 
approach to a bleeding child with blood disorders.pptx
approach to a bleeding child  with blood disorders.pptxapproach to a bleeding child  with blood disorders.pptx
approach to a bleeding child with blood disorders.pptx
 
Preeclampsia Pregnancy-Induced Syndrome
Preeclampsia Pregnancy-Induced SyndromePreeclampsia Pregnancy-Induced Syndrome
Preeclampsia Pregnancy-Induced Syndrome
 
Open Journal of Surgery
Open Journal of SurgeryOpen Journal of Surgery
Open Journal of Surgery
 
Dialysis Is The Process Of Cleansing
Dialysis Is The Process Of CleansingDialysis Is The Process Of Cleansing
Dialysis Is The Process Of Cleansing
 
Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8Bohomolets Surgery 4th year Lecture #8
Bohomolets Surgery 4th year Lecture #8
 
Intestinal ( Bowel) strangulation
Intestinal ( Bowel) strangulationIntestinal ( Bowel) strangulation
Intestinal ( Bowel) strangulation
 
EHPVO ( Extra Hepatic Portal Vein Obstruction)
EHPVO ( Extra Hepatic Portal Vein Obstruction)EHPVO ( Extra Hepatic Portal Vein Obstruction)
EHPVO ( Extra Hepatic Portal Vein Obstruction)
 
Chapter 26 Appendix
Chapter 26 AppendixChapter 26 Appendix
Chapter 26 Appendix
 

More from Kurian Joseph

More from Kurian Joseph (20)

Vj tongue
Vj tongueVj tongue
Vj tongue
 
Urinary bladder nerve supply
Urinary bladder nerve supply Urinary bladder nerve supply
Urinary bladder nerve supply
 
Types of portal hypertension
Types of portal hypertensionTypes of portal hypertension
Types of portal hypertension
 
Faces in medicine
Faces in medicine Faces in medicine
Faces in medicine
 
Superficial reflexes
Superficial reflexesSuperficial reflexes
Superficial reflexes
 
Signs of aortic regurgitation
Signs of aortic regurgitationSigns of aortic regurgitation
Signs of aortic regurgitation
 
Sensory dermatomes
Sensory dermatomesSensory dermatomes
Sensory dermatomes
 
Second heart sound
Second heart soundSecond heart sound
Second heart sound
 
S3 and s4 heart sounds
S3 and s4 heart soundsS3 and s4 heart sounds
S3 and s4 heart sounds
 
Rheumatic fever
Rheumatic feverRheumatic fever
Rheumatic fever
 
Pupils
PupilsPupils
Pupils
 
Pulse
PulsePulse
Pulse
 
Primitive reflexes
Primitive reflexesPrimitive reflexes
Primitive reflexes
 
Percussion in respiratory system
Percussion in respiratory systemPercussion in respiratory system
Percussion in respiratory system
 
Parkinson's disease
Parkinson's diseaseParkinson's disease
Parkinson's disease
 
Para sternal puls (bavya)
Para sternal puls (bavya)Para sternal puls (bavya)
Para sternal puls (bavya)
 
Palpation of spleen final
Palpation of spleen  finalPalpation of spleen  final
Palpation of spleen final
 
Nystagmus
NystagmusNystagmus
Nystagmus
 
Neurocutaneous markers
Neurocutaneous markersNeurocutaneous markers
Neurocutaneous markers
 
Kidn
KidnKidn
Kidn
 

Recently uploaded

FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...Shubhanshu Gaurav
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project reportNARMADAPETROLEUMGAS
 
introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)Mohamed Rizk Khodair
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets barmohitRahangdale
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxkomalt2001
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingAnonymous
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptPradnya Wadekar
 
Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfMedicoseAcademics
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfDolisha Warbi
 
The Importance of Mental Health: Why is Mental Health Important?
The Importance of Mental Health: Why is Mental Health Important?The Importance of Mental Health: Why is Mental Health Important?
The Importance of Mental Health: Why is Mental Health Important?Ryan Addison
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE Mamatha Lakka
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxsumanchaulagain3
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...bkling
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondSujoy Dasgupta
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyMedicoseAcademics
 

Recently uploaded (20)

FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
FDMA FLAP - The first dorsal metacarpal artery (FDMA) flap is used mainly for...
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
blood bank management system project report
blood bank management system project reportblood bank management system project report
blood bank management system project report
 
introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)introduction to neurology (nervous system, areas, motor and sensory systems)
introduction to neurology (nervous system, areas, motor and sensory systems)
 
Role of Soap based and synthetic or syndets bar
Role of  Soap based and synthetic or syndets barRole of  Soap based and synthetic or syndets bar
Role of Soap based and synthetic or syndets bar
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Basic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptxBasic structure of hair and hair growth cycle.pptx
Basic structure of hair and hair growth cycle.pptx
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
General_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_WellbeingGeneral_Studies_Presentation_Health_and_Wellbeing
General_Studies_Presentation_Health_and_Wellbeing
 
ayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologypptayurvedic formulations herbal drug technologyppt
ayurvedic formulations herbal drug technologyppt
 
Pregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdfPregnacny, Parturition, and Lactation.pdf
Pregnacny, Parturition, and Lactation.pdf
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdfCONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
CONNECTIVE TISSUE (ANATOMY AND PHYSIOLOGY).pdf
 
The Importance of Mental Health: Why is Mental Health Important?
The Importance of Mental Health: Why is Mental Health Important?The Importance of Mental Health: Why is Mental Health Important?
The Importance of Mental Health: Why is Mental Health Important?
 
BENIGN BREAST DISEASE
BENIGN BREAST DISEASE BENIGN BREAST DISEASE
BENIGN BREAST DISEASE
 
World-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptxWorld-TB-Day-2023_Presentation_English.pptx
World-TB-Day-2023_Presentation_English.pptx
 
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
Moving Forward After Uterine Cancer Treatment: Surveillance Strategies, Testi...
 
Male Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and BeyondMale Infertility, Antioxidants and Beyond
Male Infertility, Antioxidants and Beyond
 
Female Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before PregnancyFemale Reproductive Physiology Before Pregnancy
Female Reproductive Physiology Before Pregnancy
 

Abdomen and liver case presentations with Question & answers

  • 1. Ques. 1 : The clinical significance of Spider Angiomatoes and other condition that you can see Spider Angiomatoes.
  • 2. Ans : Correlate C severity of Liver disease. Pregnancy & Malnutrition Cause : ↑ oestradial & free Testoster one.
  • 3. Ques. 2 : What are the Nail changes that occur in cirrohosis.
  • 4. Ans : 1. MUEHRCKE’S NAIL Paired Horizontal white bands separated by normal colour. 2. Terry’s Nail Proximal 2/3 of Nail plate appears white, Distal 1/3 is red. Probable cause : ↓ serum Albumen
  • 5. Ques. 3 : Caput Medusae when do you get and what are the veins taking part in the shunt.
  • 6. Ans : Cirrhosis of liver with portal hypertension. Portal venous system may be shunted through the periumbliul veins into the umblical vein then to the abdominal vein causing them to become prominent.
  • 7. Ques. 4 : Cause of Parotid Gland Enlargement
  • 8. Ans : Due to fatty infiltration, fibrosis & edema : Not due to ↑ function of gland.
  • 9. Ques. 5 : What vaccine in chromic liver disease is indicated?
  • 10. Ans : According to ACIP : Hepatitis ‘A‘ Vaccine : Immun Genicity : 95% of liver disease shows sero conversion compared to healthy – 98% Safety : Well tolerated no special precaution needed Dose : Two Doses.
  • 11. Hepatitis ‘B’ Vaccine : Recombinant HBV Vaccine Dose : 0, 1 & 2 months Serco conversion : After 1st dose Safety 94% : No adverse events Hepatitis ‘C’ vaccine : No prophylactic or Therapeutic vaccine Pneumococcal vaccine Influenza vaccine Diphtheria and tetanus Meningococcal and Homophilous influenza vaccine
  • 12. Ques. 6: Cirrotosis of liver C mild portal Hypertension, Hepatitis ‘B’ carrier and Hepatitis ‘C’ desire to have pregnancy - what advise you will give ?
  • 13. Ans : 1. Do upper endoscopy to look for varices before pregnancy. If present, pregnancy is ↑ High risk for Hemorrhage. Prophylaxis with B Blocker may be continued during pregnancy New Borns should be monitored for Hypoglycemic and Bradycardia . 2. spontaneous rupture of spleenic artery may occur during pregnancy. 2. Reactivation of the virus and exacerbation of the disease during or after gestation are uncommon. Placenta Forms an excellent barrier against this virus. Major problem during delivery exposure to maternal blood in the birth caned. 3. Hepatic ‘C’ uneventful pregnancy
  • 14. Ques. 7 : What is the mechanism for vasodilatation in PHT
  • 15. Ans : ↑level of circulating Vaso Dilators. Nitric Oxide is the primary mediators. vasodilatations in cirrohosis due to No synthase activity ↑
  • 16. Ques. 8 : Hall mark of Hepoto Renal Syndromes
  • 17. Ans : ↑Renal vaso constrictions due to RAAS and SNS ↓ Peripheral vascular resistance HPE Kidney is normal
  • 18. Ques. 9: What do you mean by KamilSevela Technique ?
  • 19. Ans : • New Tech to measure the Borders of liver • Place the stethoscope on the xiphoid process Scratch from below the Rt. nipple / Breast you clearly here the liver borders. • First sound is when the liver appears & when the sound disappears it is the end of the liver.
  • 20. Ques. 10 : Explain the Special Maneuvers in Abdominal Examination ?
  • 21. Ans : Murphy’s Sign (Cholycystitis) Rebound Tenderness Psoas Sign Obturator Sign Rovsing Sign (Pain in the Rt. Iliac Fossa on Palpation of Lt. Side of Abdomen) (Referred Tenderness) Carnett’s Sign (Pain when Tensing the ABD. Wall Mass) Pata Fros Sign (Pain when the pt is asked to Cough)