8 results
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Peritonitis DIAGNOSTICS ... Treat if other signs ... (fever, abdominal ... dL and advanced liver ... #diagnosis #management
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
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 ... ) Differential Diagnosis
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
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
s/p colectomy, liver ... care center for diagnostic ... +constipation, last ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
Petechiae or positive ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... classification #diagnosis
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 ... LFTs normal Diagnosed ... to help confirm diagnosis ... cause of "false positive
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