9 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... Diverticular abscess ... Peritonitis #SBP #Abdominal ... Pneumoperitoneum #Complex ... #Ascites
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... These are gas bubbles ... to look for the abdominal ... #Perforation #POCUS
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... w bright white gas ... #Ascites #POCUS ... clinical #ultrasound #abdominal ... #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... signs (fever, abdominal ... • pay 1: 1.5 g/kg ... • pay 3: lg/kg ... fluoroquinolone to complete
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... from contiguous focus ... Hepatic artery (e.g ... sources within abdominal ... differential #diagnosis #hepatology
Point of Care Ultrasound - Probe Movements
SWEEPING:
Here we slide the probe along a slug trail of
needling during IV access ... COMPRESSION: E.g ... displace bowel gas ... looking at the abdominal ... Motion #Ultrasound #POCUS
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
Person who lives or has ... and no apparent focus ... Intense abdominal ... accumulation (ascites ... attending physician (e.g
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
>20) - Obtain abdominal ... blood, urine and ascites ... cultures Assess ... goal of >21 kcal/kg ... Management #Algorithm #hepatology
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
Abdominal Compartment ... Measurement APP (Abdominal ... Intra-Abdominal ... long standing ascites ... POCUS) and function