High fat five to a large abdomen

Increase in abdominal girth could be due to various factors. One can remember this using the method below.


High fat fives (six Fs) include:
Fat
Flatus
Fluid
Fetus
Feces
Fatal growth (often a neoplasm)

Comments

Post a Comment

Popular posts from this blog

Puddle sign... What's that?

Puddle is a small pool of fluid. Similarly   P uddle sign  is found when a pool of fluid gets accumulated in the peritoneal cavity ( ASCITES ). This  auscultatory sign   can successfully detect as less as  120 ml  of  free fluid in the abdomen.  On the other hand the two signs of percussion and palpation, namely  shifting dullness  and  fluid thrill  are elucited when the peritoneal fluid volume is more than  500 ml  and  1500 ml  respectively. " Like the silence before the storm, there is dullness before the thrill ." Let us presume that we have a patient with ascites and we are required to perform a diagnostic paracentesis (25ml fluid withdrawn using 5ml syringe). What are we required to look at? Color : Clear or cloudy yellow : Normal/TB Straw colored : Cirrhosis, Cancer (Ca), CHF, Nephrotic syndrome Bloody : Ca, TB, Pancreatic (Contain RBCs) Milky (Chylous) : Nephrosis, Pancreatic Dark brown : Cirrhosis SAAG (Serum to ascites Albumi
Read more

Patients in the ICU need "FAST HUGS IN BED P"lease

Here's something that might help you in your daily rounds in the Intensive Care Unit. While examining the patients in the ICU, one may use the following mneumonic to be sure that nothing is missed out. FAST HUGS IN BED P lease F -  Fluids/Feeding A -  Analgesics S  - Sedation T  - Thromboprophylaxis H  - Head up position U  - Ulcer prophylaxis G  - Glycemic control S  - Spontaneous breathing trial I  - Indwelling catheter N -  Nasogastric tube B  - Bowel care E  - Environment (eg Temperature) D  - De-escalation (Stopping a particular treatment) P  - Psychosocial support
Read more

The "Medical Street game" - Part 1

Image
We walk the streets almost every single day of our lives. We travel back and forth in buses, trains and taxis. Yet we fail to practice a key skill of diagnosis - "observation" during this walking and travelling. Medicine is an art and it is fun when you get the picture right the first time. This post is to help us remember to observe and hopefully get the diagnosis right the first time. Let us call this the " Medical Street game ." Today let's learn to diagnose diseases based on gait the patient exhibits. I am a fan of House MD series. Largely due to the drama (emotions) that prevails in the series that we so much lack in our everyday lives as doctors. Accompanying this drama is the kinetics in the series .i.e. the main characters in the series walk for almost 10% of an episode. This got me thinking about the gait that Dr. House has. On analysis I found that he has an atypical pathological gait because he uses the cane in the wrong side. Had he
Read more