8 results
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 ... #Complex #POCUS ... #clinical #ultrasound ... #SBP
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... #Abdominal #POCUS ... #clinical #ultrasound ... Pneumoperitoneum #Complex ... #Ascites
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... #Ascites #SBP # ... POCUS #abdominal ... #ultrasound
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... On cipro for sbp ... w bright white gas ... #Ascites #POCUS ... #ultrasound #abdominal
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Treat if other signs ... (fever, abdominal ... Diuretics ↑ ascitic ... fluoroquinolone to complete
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... to look for the abdominal ... #clinical #ultrasound ... #complex
Plankton Sign on POCUS
So, what are the POCUS findings of complex fluid?
The “plankton sign” and “hematocrit
of complex fluid ... echogenic cellular ... debris that swirl as ... Point of Care Ultrasound ... #ultrasound
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Ill-appearing, low BP ... POCUS GB done. ... surrounded by ascites ... US Murphy's sign ... #clinical #ultrasound