11 results
Acute Abdominal Pain - Location Based Differential Diagnosis Algorithm

Rule out surgical abdomen: pt lying still, rigid/hard
Differential Diagnosis Algorithm ... the cecum in the LUQ ... may present with LUQ ... Differential #Diagnosis #Algorithm
Rovsing Sign on Physical Exam

A positive Rovsing's sign is when there is tenderness in the RLQ
Rovsing Sign on ... positive Rovsing's sign ... tenderness in the RLQ ... palpating the LLQ ... appendicitis #Rovsing #Sign
Luftsichel Sign in Left Upper Lobe Collapse - Chest X-Ray

An upper lobe collapse causes the collapse
Luftsichel Sign ... Sometimes the LLL ... the collapsed LUL ... #Luftsichel #Sign ... #LUL #Collapse
Epiploic Appendagitis
Epiploic appendages = Small fat-filled pouches of visceral peritoneum that hang from teniae coli
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Usually afebrile, LLQ ... Appendagitis #diagnosis #signs
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Peritoneal Stripe Sign ... old female with LLQ ... anteriorly over the RUQ ... peritoneal stripe sign
Ureteral Stone on Renal POCUS

A 23yo male with no significant PMHx presents with acute LLQ pain,
presents with acute LLQ ... controlled, & no signs
Approach to Suspected Appendicitis - Management Algorithm

Suspected Appendicitis:
 • Vague periumbilical pain → localized RLQ pain
Appendicitis - Management Algorithm ... pain → localized RLQ ... tenderness • Rovsing Sign ... Obturator/psoas sign ... Appendicitis #Management #Algorithm
Biliary Ultrasound Win of the Week! 48F with RUQ pain. Marked echogenicity with shadowing noted. Name
48F with RUQ pain ... Name that sign! ... Wall-Echo-Shadow (WES) sign ... Clinical #POCUS #Gallbladder ... WallEchoShadow #WESComplex #Sign
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
POCUS Worsening RUQ ... Looks like a gallbladder ... in a gallbladder ... US Murphy's sign ... clinical #ultrasound #RUQ
Silhouette Sign on Chest X-Ray
Loss of the margin between two opposing structures of the same radiographic
Silhouette Sign ... hemidiaphragm • LUL ... heart border • LLL ... #Silhouette #Sign