21 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever ... Note gas bubbles ... #clinical #ultrasound ... Pneumoperitoneum #Complex
Algorithm for the differentiation between simple and complex febrile seizures. Guidelines for evaluation of each. #Diagnosis
#Diagnosis #Management ... #EM #Neuro #Peds ... FebrileSeizure #Fever ... Seizure #Algorithm #Workup ... #Simple #Complex
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... CSF evaluation as ... (particularly complex ... seizure) #Diagnosis #Peds ... Classification #Fever
“Step by Step” – the new kid on the block – aims to risk stratify this
bacterial infections (SBI ... an infant with fever ... #Diagnosis #Management ... #Pediatrics #Peds ... Stratification #Fever
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
if other signs (fever ... , abdominal pain ... fluoroquinolone to complete ... dL and advanced liver ... #diagnosis #management
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
cystitis, may have fever ... Abdominal or flank ... fever. ... lactulose producing gas ... ultrasound as initial
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... s/p colectomy, liver ... weeks ago, no fevers ... On cipro for sbp ... #abdominal #abscess
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea - Workup ... certain foods or meds ... colonoscopy), Abdominal ... imaging (CT, ultrasound ... #diagnosis #differential
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Red Flags: • Fever ... deficiency Work ... Up: • Complete ... Skin biopsy • Abdominal ... ultrasound #
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
healthy pt with fever ... States has bilat ... travel hx, home meds ... Differential Bilat ... POCUS #clinical #ultrasound