8 results
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... if other signs (fever ... , abdominal pain ... good as 10 days 2) ... dL and advanced liver
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... (see below for diagnosis ... Live 12-week ruptured ... an IUP or not. #2
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
Chest X-ray • Abdominal ... imaging Tier 2 ... • LDH, SPEP, ANA ... marrow, Lymph node, Liver ... Origin #Workup #diagnosis
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
days and presents fever ... and no apparent focus ... Intense abdominal ... organs #dengue #fever ... classification #diagnosis
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Fever, low BP with ... Diagnosis? ... Patient has ruptured ... appendicitis with intra-abdominal ... #clinical #Abdominal
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... L about 2 weeks ... ago, no fevers/chills ... #ultrasound #abdominal
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
respiratory symptoms • Fever ... Rhinocerebral 2) ... Pulmonary 3) Abdominal ... infection • Cough, fever ... • Isolated fever
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... /50 Rule (part 2) ... seen on a CXR.2 ... consider intra-abdominal ... bleeding often from a liver