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Gastroenterology
Asterixis

asterixis_narrow.mp4

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Patient 1 Patient 2 Patient 3 Patient 4 Patient 5

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Gastroenterology Liver Cirrhosis

Asterixis

Describes jerking movements of the hand when the wrist is in full extension (also known as a “flap”). Usually associated with hepatic encephalopathy or uremia.

Gastroenterology

Patient 3

This is an older man with acute renal failure from acute tubular necrosis, who developed asterixis as a result of uremia.

Ascites (bulging flanks) Caput Medusa

Teaching physical diagnosis through a library of real clinical findings.

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