14 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
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
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Hepatic infarcts, Hematomas ... Microvesicular fat ... #hepatology #obstetrics ... hepatitis #comparison #differential
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... Venoocclusive disease ... , CMV, VZV • Trauma ... hemolysis, bleeding, hematoma ... injury #hepatitis #differential
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
than AST • GGT ... of cholestatic disease ... disease: > 2 ... hemolysis, bleeding, hematoma ... chemistry #diagnosis #differential
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
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Findings: • ↑AST ... Antithrombin Ill • Ultrasound ... infiltration) Differential ... Maternal Support - Critical ... Pregnancy #hepatology #obstetrics
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
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
Post-Partum Hemorrhage - Differential ... sulfate, NSAlDs) Trauma ... Vaginal laceration / hematoma ... von Willebrand's disease ... Algorithm #Causes #Obstetrics