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The most reliable clinical sign to detect ascites is checking for bilateral flank dullness. If a patient with ascites is lying supine, fluid accumulates in the flank regions, leading to dullness on percussion. At the same time, the air-filled bowel loops are forced upwards by the free fluid due to buoyancy, resulting in tympanitic percussion. To locate specifically where dullness shifts to tympany, or the air-fluid level, percussion should be performed from the sides towards the middle. To confirm that the dullness is caused by ascites, ask the patient to switch to a lateral decubitus position. If ascites is present, the air-filled bowel loops will shift accordingly and remain at the surface of the fluid. As a result, the air-fluid level will shift as well. This is known as shifting dullness.
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The Epley Maneuver for Vertigo can be very effective at relieving vertigo symptoms, but it’s a procedure that should be performed by a physical therapist or other health care professional. This video is for demonstration purposes only. See Doctor Jo’s blog post about the Epley
Pyogenic liver abscesses are mainly treated by percutaneous aspiration or drainage under antibiotic cover. If interventional radiology fails, surgical drainage becomes necessary. Recently, we performed laparoscopic liver abscess drainage successfully, and we aimed to focus on the topic in light of a systematic review of the literature.
More than 1 million Americans suffer a heart attack every year. Traditional symptoms—chest pain or pressure, cold sweat, extreme weakness—are well known. But there are more subtle signs you’re having or are about to have a heart attack that can be easy to miss. If you experience any of the following symptoms, see a doctor. Noticing heart attack signs early and getting prompt treatment can save your life.
Pelvic ureter. The ureter enters the pelvis, where it crosses anteriorly to the iliac vessels, which usually occurs at the bifurcation of the common iliac artery into the internal and external iliac arteries. Here, the ureters are within 5 cm of one another before they diverge laterally.
Cancer, also called malignancy, is an abnormal growth of cells. There are more than 100 types of cancer, including breast cancer, skin cancer, lung cancer, colon cancer, prostate cancer, and lymphoma. Symptoms vary depending on the type. Cancer treatment may include chemotherapy, radiation, and/or surgery.
Claudication is pain caused by too little blood flow, usually during exercise. Sometimes called intermittent claudication, this condition generally affects the blood vessels in the legs, but claudication can affect the arms, too. At first, you'll probably notice the pain only when you're exercising, but as claudication worsens, the pain may affect you even when you're at rest. Although it's sometimes considered a disease, claudication is technically a symptom of a disease. Most often, claudication is a symptom of peripheral artery disease, a potentially serious but treatable circulation problem in which the vessels that supply blood flow to your legs or arms are narrowed. Fortunately, with treatment, you may be able to maintain an active lifestyle without pain.
Thoracentesis (THOR-ah-sen-TE-sis) is a procedure to remove excess fluid in the space between the lungs and the chest wall. This space is called the pleural space. Normally, the pleural space is filled with a small amount of fluid—about 4 teaspoons full.
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----Crohn's Disease Symptoms Pain. Are you suffering from diarrhea that sometimes leaves you feeling that you've completely emptied your intestine from eveything you've eaten that week?
Have you seen bright red blood traces in your stool or on the toilet paper at least once?
Do you sometimes have abdominal cramps after your meals?
Do you at times feel so nauseous that food doesn't have any appeal to you?
Have you had at least one onset of unexplained low grade fever?
Do you joints sometimes feel itchy, sore or painful?
Did you ever notice red spots or blisters on your arms or legs?
Did you ever experience episodes of itchy and even painfull pink eye (conjuctivitis)?
Have you lost weight?
Do you have episodes of overwhelming fatigue?
Do you experience increased frequency of bowel movement?
Did you ever get up during the night to defecate?
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