9 results
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... Pelvic exam followed ... (see below for diagnosis ... Live 12-week ruptured ... an IUP or not. #2
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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... signs (fever, abdominal ... good as 10 days 2) ... dL and advanced liver ... #diagnosis #management
Hemoperitoneum and Hemothorax from ruptured spleen - Perihepatic Window
30's female. No PMH/Not pregnant. Low BP/tachy presents
Low BP/tachy presents ... Rebleeding in abdominal ... Labeled Schematic ... clinical #ultrasound #pocus ... #abdominal #trauma
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 ... On cipro for sbp ... #ultrasound #abdominal
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
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Mucormycosis has five ... Rhinocerebral 2) ... Pulmonary 3) Abdominal ... , pelvic, gastric ... : • Culture of
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
normal CXR and pelvis ... concern for blunt abdominal ... Severe abdominal ... injuries to spleen, liver ... time and multiple abdominal
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