18 results
Rovsing Sign on Physical Exam

A positive Rovsing's sign is when there is tenderness in the RLQ
tenderness in the RLQ ... palpating the LLQ ... could also mean appendicitis ... video #surgery #appendicitis
Acute Appendicitis on POCUS (Linear Probe) 

30M with generalized abd pain for past day. Looks uncomfortable;
Acute Appendicitis ... generalized abd pain for past ... ttp, more so in RLQ ... Curved probe for FAST ... free fluid in the RLQ
Approach to Suspected Appendicitis - Management Algorithm

Suspected Appendicitis:
 • Vague periumbilical pain → localized RLQ pain
Approach to Suspected Appendicitis ... - Management Algorithm ... Suspected Appendicitis ... pain → localized RLQ ... #Management #Algorithm
Acute Appendicitis on POCUS

A linear transducer is over anterior RLQ.  Noncompressible fluid-filled structure >6mm +
Acute Appendicitis ... over anterior RLQ ... structure >6mm + hot fat ... concerning for appendicitis ... Herbst @EUSmkh #Appendicitis
Epiploic Appendagitis
Epiploic appendages = Small fat-filled pouches of visceral peritoneum that hang from teniae coli
 •
Epiploic Appendagitis ... appendages = Small fat-filled ... actually have appendagitis ... Usually afebrile, LLQ ... #Epiploic #Appendagitis
Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free
Positive FAST in ... the RUQ view demonstrating ... Clinical #Diagnosis #EM ... Radiology #POCUS #FAST ... #FASTExam #RUQ
Appendicitis on RLQ POCUS

Classic story for appendicitis in an adolescent male (<1 day of epigastric pain
Appendicitis on ... RLQ POCUS Classic ... story for appendicitis ... pain migrating to RLQ ... /dan___kim #Appendicitis
Acute Appendicitis
 - Periumbilical -> RLQ pain
 - Fever 
 - Abdominal pain 
 - Nausea,
Acute Appendicitis ... Periumbilical -> RLQ ... Vomiting, Anorexia #Appendicitis
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 ... , appendicitis may ... present with LUQ ... Differential #Diagnosis #Algorithm
Mesenteric adenitis on Abdominal POCUS

Child with RLQ abd pain, low-grade fever.  
Answer: Mesenteric adenitis
Initial study
Child with RLQ ... was to rule out appendicitis ... lymph nodes in the RLQ ... ultrasound #clinical #RLQ