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
Positive LUQ Fast Exam

Martial arts kicked in abd; +echogenic material LUQ;VSS, CT: Mod ascites w thickened
Positive LUQ Fast ... abd; +echogenic material ... LUQ;VSS, CT: Mod ascites ... #pocus #ultrasound ... #clinical #abdominalus
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
"culture-positive ... bacterascites positive ... Treat if other signs ... (fever, abdominal ... dL and advanced liver
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Bike vs Car. ... for sonographic signs ... #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill • Ultrasound ... Maternal Support - Critical
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
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... Petechiae or positive ... and no apparent focus ... Intense abdominal ... accumulation (ascites
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
left kidney with fat ... stone WBC 12.5 Cr ... , with clinical ... cause of "false positive ... #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Pertinent positives ... Vital signs: BP ... a chest x-ray (CXR ... consider intra-abdominal ... bleeding often from a liver