85 results
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ POCUS ... anterior to the liver ... as shown in the case ... Robert Jones @RJonesSonoEM ... duodenal #ulcer #RUQ #POCUS
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
synthesized in: liver ... Most cases diagnosed ... • softening of bones ... of feet, thigh bones ... Phosphatase: • Other causes
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... disturbance (obstructed liver ... • Liver (80%) ... Intestine - Other causes ... Differential #Diagnosis #Algorithm
Multiple Hepatic Metastases on Liver POCUS
Another case of Stage 4 Colon CA patient with sepsis. Multiple
Metastases on Liver ... POCUS Another ... case of Stage 4 ... Robert Jones @RJonesSonoEM ... #POCUS #ultrasound
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
treated, in most cases ... blood vessels, liver ... , bones, and joints
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
Metastases on POCUS ... Note hepatic masses ... have multiple liver ... Robert Jones @RJonesSonoEM ... #POCUS #clinical
Hepatic Metastases on POCUS 
Patient with history of colon cancer presents with right flank pain. Focused
Metastases on POCUS ... Note hepatic masses ... have multiple liver ... Robert Jones @RJonesSonoEM ... #POCUS #clinical
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Differential Diagnosis Algorithm ... NAFLD • Others Mild ... Differential #Diagnosis #Algorithm ... #Causes
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Pneumonia on Lung POCUS ... POCUS lung exam ... Lung POCUS shows ... Robert Jones @RJonesSonoEM
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... with vascular causes ... BPPV • Short-lived ... positional episodes caused ... Dizziness #Vertigo #Algorithm