9 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... SBP. ... #Abdominal #POCUS ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Findings: • ↑AST ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... by inoculating ascitic ... Treat if other signs ... (fever, abdominal ... dL and advanced liver
Positive LUQ Fast Exam

Martial arts kicked in abd; +echogenic material LUQ;VSS, CT: Mod ascites w thickened
abd; +echogenic material ... LUQ;VSS, CT: Mod ascites ... Positive #LUQ #pocus ... #ultrasound #clinical ... #abdominalus #trauma
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... +constipation, last ... On cipro for sbp ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... w/ spontaneous bacterial ... #SBP #POCUS #abdominal ... #ultrasound
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... for sonographic signs ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... • Person who lives ... 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)
Vital signs: BP ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver