7 results
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... Treat if other signs ... (fever, abdominal ... dL and advanced liver ... #diagnosis #management
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
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 ... 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 ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... classification #diagnosis
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
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Ill-appearing, low BP ... Diagnosis? ... surrounded by ascites ... US Murphy's sign ... #clinical #ultrasound
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