54 results
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 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
• Chills • Abdominal ... stain/culture Management ... #Peritonitis #SBP
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
simple) ascites on Abdominal ... POCUS (very subtle ... ) secondary to SBP ... Ascites #Complex #POCUS ... clinical #ultrasound #SBP
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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... algorithm #treatment #management
Small Bowel Obstruction on POCUS

SBO diagnosis in minutes of patients arrival to ED, "to/fro peristalsis" (aka
Obstruction on POCUS ... SBO diagnosis ... circulares (little fingers ... TheScanimal #Clinical #POCUS ... #AbdominalUS #SBO
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... • Hypotension: SBP ... <90, SBP drop >40 ... Mental Status (SBP ... Consider IL NS/LR infusion
Small Bowel Obstruction (SBO) on POCUS

This one was a closed loop obstruction. Subtle bowel wall edema
Bowel Obstruction (SBO ... ) on POCUS This ... Screening with abdominal ... #Obstruction #SBO ... #clinical #POCUS
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