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Ultrasound in the Evaluation of Right Upper Quadrant Abdominal Pain

- Dr. Tom Fadial https://twitter.com/thame

#Hepatobiliary #RUQ #AbdominalPain

Upper Quadrant Abdominal ... Hepatobiliary #RUQ ... AbdominalPain #Algorithm ... #POCUS #Ultrasound

POCUS Echocardiography - Table of Cardiac Views and Windows
• Parastemal Long-Axis View (PLAX)
• Parasternal

POCUS Echocardiography ... - Table of Cardiac ... View (A5C) • SC Abdominal ... Aorta Long Axis ... Orientations #Atlas #Map

This is what the intimal flap of an Aortic Dissection looks like on Ultrasound. Be able

intimal flap of an Aortic ... Be able to recognize ... EM_RESUS #Clinical #POCUS ... #AbdominalUS #Aorta ... #Aortic #Longitudinal

Acute Abdominal Pain - Location Based Differential Diagnosis Algorithm

Rule out surgical abdomen: pt lying still, rigid/hard

Acute Abdominal ... Differential Diagnosis Algorithm ... , appendicitis may ... present with LUQ ... Differential #Diagnosis #Algorithm

Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from

perforation on POCUS ... At beginning of ... pressure over RUQ ... #perforation #POCUS ... #Abdominal #clinical

Natural history
Aneurysms may progress in size as a result of gradual wall weakening [6], with rupture

cm in men [7] (Table ... Table 1: Annual ... risk according to abdominal ... aortic aneurysm ... aortic aneurysms

Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX
2. Zoom to

Measurement on POCUS ... Measure at mid systole ... , 1cm from aortic ... Run PWD trace 4 ... #Measurement #POCUS

Aortic Dissection Flap on Abdominal POCUS

Older patient found-aphasia, left sided weakness. Last known well 90min ago.

Flap on Abdominal ... POCUS Older ... POCUS done. ... Quick look at abdominal ... #POCUS #Ultrasound

Pancreatitis management checklist
Evaluation to guide etiology & management
- RUQ ultrasound
- Calcium

management - RUQ ... increase the risk of abdominal ... indicated, but may ... - Opioids may ... limit them as able

Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection

triad: Bleeding, abdominal ... , and palpable abdominal ... Minor hemorrhage may ... the OR • HD stable ... acute Gl bleeding may

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