26 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 ... #Abdominal #POCUS ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Clinical • Fever ... • Chills • Abdominal ... pain Diagnosis ... #Peritonitis #SBP ... #Diagnosis #Hepatology
Diagnostic criteria for Neutropenic Enterocolitis (NEC)
Major Criteria:
 • Neutropenia (ANC <500 x 10^9 cells/L)
 • Bowel
Diagnostic criteria ... 30mm length) • Fever ... Enterocolitis #Diagnosis ... #criteria #hematology ... #oncology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... if other signs (fever ... , abdominal pain ... #diagnosis #management ... #prophylaxis #treatment
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... weeks ago, no fevers ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on POCUS ... with abd pain & fever ... ; r/o SBP much more ... #Ascites #Clinical ... #Ultrasound #Guided
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... ) Differential Diagnosis ... #Pregnancy #hepatology
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
Intraabdominal Abscess on POCUS ... RUSH exam for fever ... Diagnosis? ... Answer: Large intra-abdominal ... #ultrasound #clinical
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
cystitis, may have fever ... Abdominal or flank ... infection, such as fever ... ultrasound as initial ... data • Early treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Neutropenic fever ... : - Fever + ANC ... CT abdomen if abdominal ... or HSCT - CRS: fever ... therapy - Symptoms: fever