9 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Note gas bubbles ... #Abdominal #POCUS ... Pneumoperitoneum #Complex ... #Ascites
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple ... ) ascites on Abdominal ... POCUS (very subtle ... ) secondary to SBP ... #Complex #POCUS
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... w bright white gas ... PittIMPOCUS #Complex ... #Ascites #POCUS ... #ultrasound #abdominal
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... These are gas bubbles ... to look for the abdominal ... #Perforation #POCUS
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... signs (fever, abdominal ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... mortality • Ascitic
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... 72% sensitive; #POCUS ... #Echogenic #Ascites ... #SBP #POCUS #abdominal
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
tracts Immune Complex ... - GI tract: abdominal ... < 30 years - Aorta ... Supply gut -> abdominal ... #rheumatology #classification
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... fever #severity #classification
Point of Care Ultrasound - Probe Movements
SWEEPING:
Here we slide the probe along a slug trail of
it into view, so ... displace bowel gas ... looking at the abdominal ... aorta. ... Motion #Ultrasound #POCUS