51 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
Fluid in Morrison's Pouch on POCUS

Young adult with severe abdominal pain/distention. Hx-SLE with prior abdominal surgeries.
Morrison's Pouch on POCUS ... Concern for SBO. ... POCUS performed. ... sonographic evidence of SBO ... RJonesSonoEM #FreeFluid
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
Extraluminal Free Fluid in Small Bowel Obstruction (SBO) on POCUS

SBO POCUS - dilated small bowel loops
Bowel Obstruction (SBO ... ) on POCUS SBO ... #Extraluminal #FreeFluid ... #Obstruction #SBO ... #POCUS #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 ... : cell count + differential ... hypertensive source • SBP ... suggests higher SBP ... w/ ↓ BP) - Dr
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
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