Hepatomegaly

It is also necessary in addition to locate the lower border of the Liver and the span of the Liver

it is necessary to assess the consistency of the liver ( soft, elatsic, firm, compact, hard), the liver surface ( smooth, protuberant), the tendernss on pressure.

 

 



Clubbing

Clubbing causes

Appearance of Clubbing

 



Bronchieactasis

 

Conditions associated with Bronchiectasis

 

COPD compared with Bronchiectasis

 

 

Symptoms of acute exacerbation of Bronchiectasis

 

Diagnostic testing for Bronchiectasis

 



 



Lymphadenopathy

Causes of Lymphadenopathy

Atrial Fibrillation

 

Atrial Fibrillation Classification

 



 

Strategies for Treatment

 

 





Medications for Rate and Rhythm control

Selecting Antiarrhythmic

Anticoagulation

 

CHAD2 score

 



Transverse Myelitis

Criteria for Idiopathic Transverse Myelitis

 

 

Approach to patient with Transverse Myelitis



 

Cauda Equina

TIA

Pulmonary Hypertension

 

Classifications

Investigations

Right Heart cath for PPH

 



Pancytopenia

Mechanisms

A useful test to differentiate between the two is the reticulocyte index and the peripheral blood smear.

 

1- Causes

with Hepatosplenomegaly and Atypical Lymphyoctosis

 





2-Causes without Splenomegaly

-Aplastic Anemia
-Myelodyplasia

Mitral Regurgitation

 

CHF

Outpatient Management
A-First visit

1- Clinical assessment
        a- Current symptoms
        b- Weight
        c- Stage or Functional Class

 

2- Criteria for Diagnosis 

 

 



3- Essential tests and investigation

-ECG

-Basic Labs

-BNP

-Echo for systolic vs. diastolic dysfunction

4-underlying etiology ischemic vs. non ischemic

 

5-cause of recent decompensation

6-Treatment

 

 

B-subsequent visits

f/u clinical    
symptom  signs

Medical Records points

Criteria for Clinical stability of Heart Failure