10 results
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Small Bowel Obstruction ... hemoperitoneum from trauma—every ... Labeled Schematic ... SBO #SmallBowel #Obstruction ... #Abdominal #clinical
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
hemorrhage on FAST exam ... FAST exam done. ... No other intra-abdominal ... Labeled Schematic ... FAST #Positive #trauma
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Symptoms: cough, abdominal ... distension, wheeze, abdominal ... peripheral edema, ascites ... → no signs of CXR ... identificaton of obstructive
Abdominal Distention - Differential Diagnostic Algorithm
Ascites
Bowel Dilatation
Other Causes
Mechanical Obstruction
 • Adhesions 60%
 • Volvulus 3%
 •
Abdominal Distention ... Diagnostic Algorithm Ascites ... Causes Mechanical Obstruction ... Herniation 10% Pseudo-obstruction ... Ogilvie's Syndrome • Trauma
Positive LUQ Fast Exam

Martial arts kicked in abd; +echogenic material LUQ;VSS, CT: Mod ascites w thickened
Positive LUQ Fast Exam ... LUQ;VSS, CT: Mod ascites ... ultrasound #clinical #abdominalus ... #trauma #exam
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis: • Trauma ... Tachycardia - N/V - Abdominal ... ) • AKI: BUN/Cr ... Renal tubular obstruction
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Positive RUQ FAST Exam ... Bike vs Car. ... Rupture #RUQ #FAST #Exam ... #Positive #Abdominal ... ultrasound #Liver #Trauma
Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents
Rebleeding in abdominal ... trauma is common ... FAST exam still ... Labeled Schematic ... ultrasound #pocus #abdominal
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
(normal CXR and ... pelvis exam), her ... concern for blunt abdominal ... Severe abdominal ... time and multiple abdominal
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... on our physical exam ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal