63 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 POCUS ... ) secondary to SBP ... #Complex #POCUS ... clinical #ultrasound #SBP
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Bacterial Peritonitis (SBP ... ) on Abdominal POCUS ... SBP. ... #Peritonitis #SBP ... #Abdominal #POCUS
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Visualized on POCUS ... Criteria for SBO ... Obstruction #Jejunum #SBO ... #POCUS #clinical ... #ultrasound #abdominal
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #Peritonitis #SBP
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... in SBP on POCUS ... suspicion for SBP ... ultrasound_vcu #Complex #Ascites ... #SBP #POCUS #clinical
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... hypertensive source • SBP ... suggests higher SBP ... g/dL, consider cardiac ... w/ ↓ BP) - Dr
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Pneumothorax, Cardiac ... Severe auto-PEEP, Abdominal
Mean Arterial Pressure (MAP)

Average arterial pressure throughout one cardiac cycle, systole, and diastole. 
Surrogate indicator of
throughout one cardiac ... indicator of tissue perfusion ... + 1/3(SBPDBP ... mm Hg, MAP = SBP ... 3 MAP = 1/3 (SBP
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... could predict SBP ... paracentesis, 12% rate of SBP ... #SBP #POCUS #abdominal
Accuracy of abdominal ultrasound for the diagnosis of small bowel obstruction in the emergency department

https://www.ncbi.nlm.nih.gov/pubmed/30181794

Our data
Accuracy of abdominal ... when compared to abdominal ... #Obstruction #SBO ... #POCUS #Diagnosis ... Accuracy #Testing #Abdominal