69 results
Suggested diagnostic approach to a patient with exudative ascites. Low ascitic fluid protein should direct practitioners
Low ascitic fluid ... syndrome as a cause ... out lymphatic obstruction ... Although nonhepatic causes ... diagnosis #workup #algorithm
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 (very subtle ... intra-ascitic echoes ... #Complex #POCUS
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
of bowel lumen Complete ... acute or chronic abdominal ... bowel-movements (suggests complete ... light-switch pain") with complete ... percussion • Nausea
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... POCUS for win. ... Peritonitis #SBP #Abdominal ... Pneumoperitoneum #Complex ... #Ascites
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... relevant findings: Fluid ... auscultatory percussion, abdominal ... Fluid Analysis:
Complex Ascites on POCUS

- Dr. Michael I. Prats @PratsEM

Large amount of free fluid seen in the
Complex Ascites ... on POCUS - Dr. ... amount of free fluid ... #Complex #Ascites ... #POCUS #clinical
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... • Sinusoidal obstruction ... Inferior vena cava obstruction ... #Hepatology #causes
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bloating - Treatment Algorithm ... Gastric Outlet Obstruction ... • Ascites • ... Intestinal Pseudo obstruction
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... distinguishing fluid ... perforation and obstruction ... to look for the abdominal
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Small Bowel Obstruction ... Visualized on POCUS ... peristalsis • +free fluid ... #Jejunum #SBO #POCUS ... clinical #ultrasound #abdominal