Clinical Examination of Cirrhotic Liver Disease - Final Year MBBS Practical Case

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  • Опубликовано: 31 янв 2025

Комментарии • 479

  • @thejanetflights7396
    @thejanetflights7396 3 года назад +542

    My heart feels so sad for that patient... thanks to him for allowing us to learn from him💜

    • @Randomyoutubecommenter
      @Randomyoutubecommenter Год назад +9

      I feel super bad aswell. This guy has a story of struggle that has led to this point with all the wrong choices he made under tough times. It sucks but life is sad like this.

    • @Celine93-y1p
      @Celine93-y1p Год назад +8

      ​@@Randomyoutubecommentercould be genetic it's not always about bad choices I have seen many alcoholics who have easily recovered liver problem and have lived a long and healthy life.

    • @babyluvv777
      @babyluvv777 Год назад +4

      @@Randomyoutubecommenterit can be NAFLD based cirhosis which causes steatohepatitis also .. so not always drinking

    • @JdjIrhe
      @JdjIrhe Год назад

      😢❤

    • @ridabari238
      @ridabari238 Год назад +1

      Ffaaee

  • @manjirishelar5647
    @manjirishelar5647 3 года назад +79

    Its a humble request to marrow, please keep making such more videos.
    Thanks a lot for putting this up.
    I wish speedy recovery for that patient, for allowing us to learn.

  • @sujithkumar7000
    @sujithkumar7000 Год назад +47

    Dr. Akashy was one of my professors in the 4th year, and I still foundly remember that Sir would generally teach us GIT system. I highly Dr. Akashy videos.
    Good luck studying.

  • @medtalks4414
    @medtalks4414 3 года назад +17

    Best Eva watched clinical video....student of marrow ....love from kashmir to marrow family ,users and mostly to the presenting doctor and humble patient...

  • @manishaent6872
    @manishaent6872 3 года назад +340

    Excellent presentation Dr. Akshay! All students must have benefited a lot 👌

  • @thetransferaccount4586
    @thetransferaccount4586 7 месяцев назад +4

    this is gold.. nobody provides good actionable information on the internet about these diseases

  • @TM-fj4tr
    @TM-fj4tr 3 года назад +20

    Awesome video! I received my new liver in 2019. Praying for your patient. God bless

  • @blackdogfive
    @blackdogfive Год назад +13

    so refreshing to see and hear a Dr. that uses real skill on the human body instead of initially sending us of for countless often needless expensive mechanical testing that is not always accurate and may miss vital information. Being aware of physical and emotional cues from the patient can go along way in the diagnosis. Thank=you both/all so much for this video.

    • @Aliabas-ts1ck
      @Aliabas-ts1ck Год назад

      Its prognosis its terminal 💔

    • @blackdogfive
      @blackdogfive Год назад

      yes, sadly I understood this as well@@Aliabas-ts1ck

  • @minajhoond8208
    @minajhoond8208 3 года назад +137

    Should have had this during my mbbs. Would have helped so much😪 either way, such a good video!

  • @shimsharaghavendra2086
    @shimsharaghavendra2086 Год назад +16

    He is from Karnataka 💛❤️ .... It was truly very informative thanks sir

  • @alokkmr78
    @alokkmr78 2 года назад +16

    Honestly speaking i completed my MD medicine , but still not much clear about shifting dullness ,,, today u illustrated it very well

  • @85musicmaniac
    @85musicmaniac 3 года назад +42

    Very well made video and lecture! As a teacher myself, i can learn definitely the ways to teach more effectively!

  • @dr.bidisha
    @dr.bidisha 2 года назад +13

    Thank you so much Sir tomorrow we have our practical exams & this helped a lot!😊

  • @Pardesifoodshorts
    @Pardesifoodshorts 9 месяцев назад +1

    What an amazing way of learning. You are blessed. You have mastered the art of percussion.
    One thing that I would also add would be Pruritis and scratch/bruise marks. You did mention systemic anastomosia but as medical students , they expect us to say Caput Medusa etc
    But very informative. Thank you Dr. Sab . This was a treat to watch. Patient didn't look too good but you treated him with respect and were gentle.

  • @iqrafatima.ch27
    @iqrafatima.ch27 2 года назад +10

    So much information in just 26 minutes video, thank you sir. Keep it up.

  • @Boneteacher
    @Boneteacher 3 года назад +543

    Superb ! 💙🐢

    • @alien8982
      @alien8982 3 года назад +4

      are bhai ji aap idhar

    • @h.k347
      @h.k347 3 года назад +6

      @@alien8982 tu kya kar raha hai idhar.. alien.. ja space meh ja..😄🤣🤣

    • @lindaanderson5913
      @lindaanderson5913 3 года назад

      V

    • @ismaelamaro2451
      @ismaelamaro2451 3 года назад +1

      Z. Zozmz zizsmw sosmsosmssmoss paso🤣😙🙃🤪😙🤣🟥😙📞🤪🤪🤣😙🙃😙🔥🤪🥳😗🥳🙃🤭🙃🥳🙃🤭🙃😜🙃🥳🙃🥳🙃

    • @h.k347
      @h.k347 3 года назад

      @@ismaelamaro2451 mad person ✅

  • @rosannacellini2158
    @rosannacellini2158 3 года назад +22

    Very informative and interesting. My father died from liver complications, so this hits home. Thank you Doctor and also your patient. God bless.

    • @johnthomashefsky9257
      @johnthomashefsky9257 3 года назад +2

      My father was just diagnosed with end stage liver disease. His tummy has to be drained now, hepatic encephalopathy. It just is so sad to watch. I mean..... What kind of life expectancy should we be prepared for? Im new to all of this with him. The Drs. Dont tell us much at all and are very ignorant

    • @zevusRs
      @zevusRs 2 года назад

      @@johnthomashefsky9257 Sorry to hear about your father’s situation, John. What I can share with you about my father’s passing is life expectancy is about 2 years. He had ascites from alcohol abuse for decades. Mid 2020 was the first time he went to have his abdomen drained of fluids. Ascites is a symptom of decompensated cirrhosis. Liver transplant would be best solution at that point. Wish you and your father the best.

    • @johnthomashefsky9257
      @johnthomashefsky9257 2 года назад

      @ Walt D. Unfortunately dad has passed. In Febuary! Couldn't believe it. He walked into the hospital near normal, 12 hours later he was dead.

  • @doctord7171
    @doctord7171 3 года назад +63

    Shoutout to the patient, Wishing you a speedy recovery ❤️

    • @friedchicken1
      @friedchicken1 3 года назад +9

      well... unless he gets a liver transplant... odds are... not good :(

    • @shaunghishing9965
      @shaunghishing9965 3 года назад +5

      It's sad but, the patient already malnourished and oedema is advanced, that's the stage it's hard, coz process will be very complicated like you have to take patient to kidney specialist, most patient requires dialysis, donate blood etc

    • @doctord7171
      @doctord7171 3 года назад +4

      @@shaunghishing9965
      I wish we could get an update on this case..

    • @shiwangee
      @shiwangee 3 года назад +1

      @@friedchicken1 can a 72 year old woman get a liver transplant done??

    • @friedchicken1
      @friedchicken1 3 года назад +3

      @@shiwangee One should always talk to their doctor but I'd say yes

  • @monaleescott4203
    @monaleescott4203 3 года назад +9

    Excellent exam and explanation of the patient illness. The patient is awesome.

    • @TheMistaell
      @TheMistaell 3 года назад +1

      That was so helpful🙏🙏🙏

  • @ayushiashu5082
    @ayushiashu5082 3 года назад +20

    this is of grt help sir❤️...Please upload more videos of clinical examination of cns, cvs,hemat

    • @wild_wild_AF
      @wild_wild_AF 3 года назад

      You need to subscribe to marrow plus extra 2000 on plan c

    • @MBBSAIIMSONIANRISHIKESH
      @MBBSAIIMSONIANRISHIKESH 2 года назад

      Officially i m a marrowian they provided everything in a easy manner finally i can understand everything easily.❤️

  • @DrSnp
    @DrSnp 2 года назад +3

    Karnataka .....!
    Felt happy to hear sir
    Super presentation

  • @drshwetasingh7599
    @drshwetasingh7599 3 года назад +18

    The pattern of examination is a little different from what us shown in the video but overall it was fine.. 👍👍
    Some small errors which I would like to point out -
    1) check for pallor and icterus simultaneously in both eyes at once and not one at a time as shown in the video
    2) always flex legs to examine the abdomen
    3)confirm pallor in tongue also
    4) stethoscope seedha laga lena

  • @christinemoore6911
    @christinemoore6911 3 года назад +2

    Excellent video so well explained and dr extremely knowledgable. I do hope the patient is doing ok

  • @Metaphysicse
    @Metaphysicse 2 года назад +8

    Thankyou for such simple explanation, and Thankyou to the patient who’s helping us learn from this! God bless

  • @calvinbealer7264
    @calvinbealer7264 3 года назад +2

    Great 👍 Information to Know Thank you very much. Prayers and Speedy recovery for the Patient as well.

  • @hildaaybar9042
    @hildaaybar9042 3 года назад +11

    Very Sad 😢, that’s a lot of fluids , poor patient he most be very uncomfortable ❤️🙏🏽🙏🏽wish him the best ❤️🙏🏽🙏🏽

  • @streetgods7347
    @streetgods7347 3 года назад +2

    What a doctor👌👌👌👍👍👍
    What an experience u have
    Wow

  • @anudeepkadam7370
    @anudeepkadam7370 3 года назад +41

    Saviour..Please uplaod more such examination on marrow🙏😇

  • @rockinbogie
    @rockinbogie 3 года назад +21

    Ya baby LEGENDARY Ramaiah medical college professors ! 😍

  • @peterperker2462
    @peterperker2462 3 года назад +40

    We want more examination video like this🙏.

  • @VisualAiz
    @VisualAiz 2 года назад +1

    thank you for this great demonstration but I'd like to suggest doing auscultation prior to palpation and percussion because it will alter the result of auscultation. in examining the abdomen, auscultation should be done before percussion and palpation.

  • @queenorca1171
    @queenorca1171 3 года назад +6

    This video is very helpful in understanding what my 32yr old who died of cirrhosis experienced. Thank you!

    • @cyrus7241
      @cyrus7241 3 года назад +1

      That’s horrible I’m sorry. Didn’t know cirrhosis could take someone at 32 :(

    • @mrmage1989
      @mrmage1989 3 года назад

      @@cyrus7241 my uncle 32 years old died on 9th December

    • @jaishreerammahadev
      @jaishreerammahadev 2 года назад +2

      ​@@mrmage1989 my father have liver cirhosis what we can do for treatment please reply 😢

    • @عشقالربيع-خ5ن
      @عشقالربيع-خ5ن 2 года назад

      @@jaishreerammahadev هل حصلت على علاج

    • @deviel2787
      @deviel2787 Год назад

      ​@@jaishreerammahadevHow is he now?? Any treatments ? For how long did he have distended belly?

  • @survivorfanpage3441
    @survivorfanpage3441 Год назад +1

    Thank you to this patient for letting us learn from his belly. I hope he gets better soon

  • @Kalicharanmv
    @Kalicharanmv 3 года назад +20

    Akshay Sir! Thank you so much. You are the best, very well explained. Please bring out more videos.

  • @harishm194
    @harishm194 3 года назад +10

    Plz put all the examinations sir...it's very helpful ❤️

  • @jakelance6
    @jakelance6 3 года назад +4

    Literally didn't understand a single word you said! Thank you.... come again!!!

  • @antimatter2840
    @antimatter2840 2 года назад +2

    Amazing demonstration sir….
    Please keep posting such videos..

  • @MBBSAIIMSONIANRISHIKESH
    @MBBSAIIMSONIANRISHIKESH 2 года назад +1

    Thank you sir everything was explained in very systematic manner love you and your explanation.

  • @AnnePybus
    @AnnePybus 4 месяца назад

    I have non alcoholic cirrhosis of the liver that was very informative female 64 years old 🙏

  • @shivanichhabra1166
    @shivanichhabra1166 3 года назад

    mere dada ji ko v liver ki problem hae. jabse unhone Dr. Vikram Chauhan se treatment lena start kiya hae. abhi vo kafi better feel krte hain. aur unki condition mein bhi boht sudhar hae.

  • @confusedgenius2927
    @confusedgenius2927 2 года назад +1

    Thanks I have practicals upcoming weeks

  • @drdcrammahali9637
    @drdcrammahali9637 2 года назад

    Very good clinical examination &Demostration .Thanks.

  • @tubaafxal6102
    @tubaafxal6102 3 года назад +7

    such a dedicated doctor.

  • @parambakshi858
    @parambakshi858 3 года назад +5

    Helpful video! Wishing the patient a speedy recovery!

  • @deepthi1283
    @deepthi1283 3 года назад +2

    Pls do upload more clinical examination videos. It wud b very usefull for final year students

  • @onkargotipamul1782
    @onkargotipamul1782 Год назад +1

    This was too informative Sir❤

  • @medicoshub2082
    @medicoshub2082 3 года назад +4

    Such a great content 👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍👍

  • @mrmoon1482
    @mrmoon1482 3 года назад +4

    Sir if all doctors was like you, the world would be a better place,

  • @shashankyerdoor
    @shashankyerdoor 3 года назад +5

    Good job Dr. Akshay, best wishes from crfc. Kalpayacho you know the drill

  • @Kkssrr010
    @Kkssrr010 2 года назад +1

    Nicely explained sir 👏
    But not flexed the leg while palpating sir .can we palpate so sir!

  • @mangohai4145
    @mangohai4145 3 года назад +6

    Sequence: Inspection->auscultation
    ->percussion->palpation.

  • @lefthandedsurgeon
    @lefthandedsurgeon 3 года назад +22

    👍👍

  • @PrasannaJanadri
    @PrasannaJanadri Год назад

    sir please do RS CVS and CNS examination too, btw loved the way of your approach sir

  • @amulyacharan8677
    @amulyacharan8677 3 года назад

    Wishing that patient speedy recovery

  • @RithwikNeurovideos
    @RithwikNeurovideos 3 года назад +7

    Superb Video,Sir,Explained In Detail,Please Do A video on Neurological Examination ,It will be helpful

  • @eshasubba6603
    @eshasubba6603 10 месяцев назад

    Thank you! Looking forward to more vedios like this

  • @jaidul61
    @jaidul61 4 месяца назад

    Its that man again...kane william baba...good players perform at the right moment

  • @outsider-ey1rs
    @outsider-ey1rs Год назад +1

    Thank you so much! Please do more of this..

  • @Dogtok22
    @Dogtok22 3 года назад +2

    thank you dr. and the patient ❤️ speedy recovery

  • @h.k347
    @h.k347 3 года назад +2

    Nice.. reminded of my mbbs medical college days

  • @kimtae6570
    @kimtae6570 Год назад

    I havent watched such a well explained tutorial❤

  • @vaibhav1374
    @vaibhav1374 3 года назад +1

    We want more videos like this great presentation of case

  • @Luladasilva217
    @Luladasilva217 3 года назад +7

    Superb sir...thank you very much sir.. Well demonstrated all peripheral signs of liver disease.. What's the etiology in this case? Wishing for more such videos🙏

  • @rajsagar6662
    @rajsagar6662 3 года назад

    Wow...Medicine is so interesting 🤩🤩

  • @CaffeniatedDoctor11
    @CaffeniatedDoctor11 3 года назад +1

    Thank you for such detailed explanation sir.Cleared so many doubts

  • @rkbbhatia9679
    @rkbbhatia9679 Год назад +1

    Thanks for explanation . May I ask this question ? Is this patient still alive ?

  • @medicalknowledgewithabhi2394
    @medicalknowledgewithabhi2394 2 года назад +1

    Patient speedy recovery ❤️

  • @drkpk384
    @drkpk384 10 месяцев назад

    thx dear ..plz do short cases long cases for fcps exam ,i m sharing it whatsapp group ,will gain lot of followers

  • @billel2guns790
    @billel2guns790 Год назад

    So beneficial .. thanks from algeria

  • @ahmedalbasri7280
    @ahmedalbasri7280 3 месяца назад +1

    From iraq /karbalaa ..thanks so much

  • @shubhamstiwari
    @shubhamstiwari 3 года назад +2

    Great video sir with clear explanation 🙏

  • @santhoshpatil4534
    @santhoshpatil4534 2 года назад

    Very few videos do justice to bedside teaching. Good work dr

  • @manika_agarwal
    @manika_agarwal 3 года назад +6

    Amazing!!!plz upload more

  • @Riza_333
    @Riza_333 2 года назад +1

    Thank you sir 👌🏻👌🏼👌🏻 simple and easy to understand 😁😁

  • @abhishek3978
    @abhishek3978 2 месяца назад +4

    This uncle has definitely passed away . Cause once you have Asceitis , it will lead to HE .. which means death with in a year or so . My bua had it and she passed away few months back and liver cirrhosis is worst .. you see them suffering every day every minute

    • @Anonymous-gh6xf
      @Anonymous-gh6xf 26 дней назад +1

      Not necessarily. Transplant is also an option.

    • @abhishek3978
      @abhishek3978 26 дней назад

      @ not for people above 60

  • @dryaseen4427
    @dryaseen4427 Год назад

    he's so best he shd be medicine teacher on marrow

  • @aniqamunawar9447
    @aniqamunawar9447 3 месяца назад

    Very well explained, thanks sir

  • @krishna_care21
    @krishna_care21 3 года назад

    Super se upper 🥰🥰😍😍😍😍😍 dr akshay sir rock it 😍🥰😍

  • @adilnizami2199
    @adilnizami2199 2 года назад

    Excellent 👌👌👌 demonstration

  • @pgexm
    @pgexm 2 года назад +1

    Very helpful and easy explanation

  • @pradhyumn1734
    @pradhyumn1734 3 года назад +1

    Thankyou so much Sir, looking forward to more such videos 😇

  • @musicmedia-official3115
    @musicmedia-official3115 2 года назад

    Sir u r explain really very nice sir thankyou so much for teach.

  • @bhavishasauba9775
    @bhavishasauba9775 11 месяцев назад

    this was actually very good

  • @kumarayanghosh1837
    @kumarayanghosh1837 3 года назад +2

    More videos like this would be helpful

  • @SaidulIslam-dv5pi
    @SaidulIslam-dv5pi Год назад

    Thank you so much for details explanation.

  • @kyazeKaliffani
    @kyazeKaliffani 5 месяцев назад

    Dr. U hv made life easy😅

  • @tshepangmasemola8229
    @tshepangmasemola8229 2 года назад +5

    Gracias 😊 por explicarnos lo más sencillo posible 👌🏾👌🏾👌🏾

  • @baadal4836
    @baadal4836 3 года назад +3

    Wow 👏 amazing video this!

  • @gilbertcheruiyot7815
    @gilbertcheruiyot7815 3 года назад +1

    awesome video,add us more on cvs,cns

  • @ceyloncusine4878
    @ceyloncusine4878 3 года назад +4

    Thank you for the Informative video. I have a question - why is it recommended to check the pulse with the thumb? I thought our thumb itself has a pulse and it will make it harder to count the pulse accurately.

  • @DeathAngleZoe
    @DeathAngleZoe 3 года назад +4

    This is so well done. Thank you so much!

  • @himanshukaushik3838
    @himanshukaushik3838 Год назад

    Plzz make more such videos for medicine cases 🙏🏻🙏🏻🙏🏻

  • @uniqueteam2012
    @uniqueteam2012 3 года назад +2

    Outstanding Sir
    🙏👍

  • @92rushikeshkshirsagar48
    @92rushikeshkshirsagar48 2 года назад

    Very good clinical demo sir

  • @ahmedistiak
    @ahmedistiak 3 года назад

    Superb demonstration 👌👌👌

  • @keerthikumaran8755
    @keerthikumaran8755 3 года назад

    Awesome sir👏🏻👌🏻🙏🏻
    Thank you very much.

  • @dr.ankitapattanayak2848
    @dr.ankitapattanayak2848 3 года назад +4

    Thank you so much sir . Can we get such videos on other examinations too asap?

  • @everettvanwinkle9004
    @everettvanwinkle9004 2 года назад

    Thank You 👍 I have learned something good

  • @chinaricanbeast5228
    @chinaricanbeast5228 Год назад

    Thank you from Chicago

  • @iqratariq8855
    @iqratariq8855 3 года назад +3

    Hats off to you sir ✨