7 results
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
on Positive RUQ ... for sonographic signs ... #Rupture #RUQ # ... #POCUS #clinical ... #Trauma
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
anteriorly over the RUQ ... peritoneum and liver ... ie, intestinal/gastric ... #POCUS #EPSS #clinical ... #ultrasound #radiology
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Adult male with RUQ ... Diagnosis/differential ... No other intra-abdominal ... FAST #Positive #trauma ... #clinical #ultrasound
Perforated Gastric Ulcer on Abdominal POCUS
Not all FASTs are simple. Take a look at this! There
Ulcer on Abdominal ... layering fluid in the LUQ ... Your differential ... occult bleed due to trauma ... #POCUS #clinical
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
pits <100k), ↑ liver ... ULN) or severe RUQ ... diagnosis so have high clinical ... htn #obstetrics #cardiology ... #differential #
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
re-exams (normal CXR ... Severe abdominal ... injuries to spleen, liver ... pattern on your differential ... #Injury #clinical
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver