5 results
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
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 ... #Ascites #POCUS ... #abdominal #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
bacterascites positive ... Treat if other signs ... (fever, abdominal ... fluoroquinolone to complete ... dL and advanced liver
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
days and presents fever ... Petechiae or positive ... and no apparent focus ... Intense abdominal ... accumulation (ascites
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... SpO2 88% on room air ... consider intra-abdominal ... bleeding often from a liver