57 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
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
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... On cipro for sbp ... #POCUS #SBP #clinical ... #ultrasound #abdominal ... #abscess
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Ascites - Diagnosis ... : cell count + differential ... hypertensive source • SBP ... suggests higher SBP ... w/ ↓ BP) - Dr
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 ... #Hepatic #POCUS ... Clinical #Ultrasound #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
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... Sophia_Hayes_MD #Shock #Differential