8 results
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Clinical • Fever ... • Chills • Abdominal ... cells/mL • Positive ... #Peritonitis #SBP ... #Diagnosis #Hepatology
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
Positive FAST exam - Morrison’s Pouch

Ever so often its nice to gaze upon a crisp &
Positive FAST exam ... Morrison’s Pouch Ever ... Hemorrhage #pocus #ultrasound ... #clinical #abdominalus ... #trauma #FAST #
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
bacterial "culture-positive ... same as culture-positive ... bacterascites positive ... , abdominal pain ... fluoroquinolone to complete
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
integrity: - Trauma ... Red Flags: • Fever ... Work Up: • Complete ... Skin biopsy • Abdominal ... ultrasound #
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... s/p colectomy, liver ... On cipro for sbp ... Ascites #POCUS #SBP ... #abdominal #abscess
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Gastric Rupture on Positive ... fluid in this positive ... #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
suffered no head trauma ... Pertinent positives ... Vital signs: BP ... consider intra-abdominal ... bleeding often from a liver