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crazy.medicine on Instagram: "Answer: Asterixis (Flapping tremors). Asterixis is a clinical sign that describes the inability to maintain sustained posture with subsequent brief, shock-like, involuntary movements. This motor disorder is myoclonus characterized by muscular inhibition (whereas muscle contractions produce positive myoclonus). It is most commonly associated with metabolic encephalopathies, especially hepatic. The presumption in hepatic encephalopathy was that damage to brain cells d
crazy.medicine on Instagram: "Answer: Asterixis (Flapping trem…
90.8K viewsNov 4, 2023
Instagramcrazy.medicine
Here is a great example of asterixis in a patient with uremia. ‘Asterixis’ is a clinical sign that describes the inability to maintain sustained posture with subsequent brief, shock-like, involuntary movements. It was initially described in 1949 by James Foley & Raymond Adams (specialists at Thorndike Laboratory at Boston City Hospital) to describe the flapping tremor they observed in liver disease (they initially referred to this as ‘liver flap’), BUT this clinical sign is not pathognomonic for
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Here is a great example of asterixis in a patient with uremia. ‘Asterixis…
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