6 results
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
days and presents fever ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... classification #diagnosis
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
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 ... weeks ago, no fevers ... #POCUS #SBP #clinical ... #ultrasound #abdominal
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
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Worsening RUQ pain/fever ... Ill-appearing, low BP ... 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