13 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
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
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... POCUS 24yo healthy ... fusobacterium, so ... #POCUS #Clinical ... #Ultrasound #Abdominal
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... #criticalcare #algorithm
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... On cipro for sbp ... #POCUS #SBP #clinical ... #ultrasound #abdominal ... #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... signs (fever, abdominal ... , mortality in SBP ... #Peritonitis #SBP
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Chronic Abdominal ... Gastric cancer • Liver ... splenomegaly, abscess ... location/diffuse: • Ascites ... Somatization #Chronic #Abdominal
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Obstruction - Differential ... Hernia: External abdominal ... Inflammatory: Intra-abdominal ... abscess, "Starch ... #Diagnosis #SBO
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... Pain Causes - Differential ... patients with chronic abdominal ... • Splenomegaly/Abscess ... hernia • Rib fracture
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