9 results
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
vs Car. ... for sonographic signs ... #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Positive LUQ Fast Exam

Martial arts kicked in abd; +echogenic material LUQ;VSS, CT: Mod ascites w thickened
Positive LUQ Fast ... ;VSS, CT: Mod ascites ... jchristianfox #FAST ... #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 ... Maternal Support - Critical
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Ill-appearing, low BP ... surrounded by ascites ... US Murphy's sign ... #POCUS #clinical ... #ultrasound #RUQ
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
WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF
Last clip shows ... 1yr worsening abdominal ... Path: chronic cholecystitis ... cholelithiasis #clinical ... #ultrasound
Ruptured Hepatic Hyatid Cyst on RUQ Ultrasound

52-yo female with hypotension after blunt abdominal trauma from fall
Ultrasound 52 ... FAST exam-small ... #Abdominal #POCUS ... #clinical #ultrasound ... #Liver #Trauma
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
POCUS - Enhanced ... anteriorly over the RUQ ... peritoneum and liver ... #POCUS #EPSS #clinical ... #ultrasound #radiology
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