12 results
Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No
Traumatic Splenic Hematoma ... Minor blunt trauma ... closely, hyperechoic hematoma ... #Exam #Clinical ... #Ultrasound #Trauma
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Adrenal hematoma ... Diagnosis/differential ... Right adrenal hematoma ... #Positive #trauma ... #clinical #ultrasound
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Hepatic infarcts, Hematomas ... of Pregnancy (AFLP ... Microvesicular fat ... Pregnancy #hepatology #obstetrics ... hepatitis #comparison #differential
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... iMedEducation #AFLP ... Pregnancy #hepatology #obstetrics
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... , CMV, VZV • Trauma ... • AST/ALT > ALP ... hemolysis, bleeding, hematoma ... injury #hepatitis #differential
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... than AST • GGT ... • AST/ALT > ALP ... hemolysis, bleeding, hematoma ... chemistry #diagnosis #differential
Traumatic Spleen Hematoma on POCUS
Peds blunt abd trauma is scary.. A reminder why #POCUS negative for
Traumatic Spleen Hematoma ... POCUS negative for FAST ... abdomen was benign clinically ... DrShukla14 #Spleen #Hematoma ... #clinical #ultrasound
Beaver Tail Liver
Anatomical variant with an enlarged left lobe which wraps around the spleen 
 -
Beaver Tail Liver ... M - Prone to trauma ... mimic splenic hematoma ... #Beaver #Tail #Liver ... #clinical #radiology
Pelvic Hematoma on POCUS
Fall w pubic ramus fracture. Pelvis FAST. Not all free fluid is simple
Pelvic Hematoma ... Pelvis FAST. ... Correlate with clinical ... mackendc #Pelvic #Hematoma ... #ultrasound #trauma
Perinephric fluid on POCUS

Differential Diagnosis: Calyceal rupture due to obstruction (eg, ureteral stone, crossing vessels, compression
fluid on POCUS Differential ... ), perinephric hematoma ... from trauma, renal ... #fluid #POCUS #ultrasound ... renal #kidney #clinical