15 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... Diverticular abscess ... #POCUS #clinical ... #ultrasound #Gas ... Pneumoperitoneum #Complex #Ascites
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... abscess was recommended ... #Abscess #Hepatic ... #POCUS #Clinical ... #Ultrasound #Abdominal
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Flapping tremor (hepatic ... Aspiration of ascitic ... fluid, Dilated abdominal ... disease #signs #diagnosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... of portal HTN: ascites ... portal HTN: • Ascites ... #causes #hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... ultrasound: A concerning ... of air in the hepatic ... ileus), intra-abdominal ... #hepatology #liver
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.
RUSH exam for fever ... Diagnosis? ... Answer: Large intra-abdominal ... #POCUS #ultrasound ... #clinical #Crohns
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
three different sites ... • Myocardial abscess ... • Persistent fever ... Internet Book of Critical ... #criticalcare #diagnosis
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Chronic Abdominal ... Quadrant: • Peptic ... Gastric cancer • Liver ... splenomegaly, abscess ... location/diffuse: • Ascites
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... through: - Hepatic ... sources within abdominal ... #differential #diagnosis ... #hepatology