21 results
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple) ascites ... on Abdominal POCUS ... very subtle intra-ascitic ... ) secondary to SBP ... clinical #ultrasound #SBP
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... SBP. ... #Peritonitis #SBP ... #Abdominal #POCUS ... Pneumoperitoneum #Complex #Ascites
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... of patients w/ ascites ... dullness, puddle sign ... auscultatory percussion, abdominal ... incisional). 3) Signs
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Aspiration of ascitic ... fluid, Dilated abdominal ... Splenornegaly, Ascites ... liver #disease #signs
Systemic Lupus Erythematosus: Gastrointestinal Manifestations
 - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Enteropathy -> Ascites ... Pseudo-Obstruction: Abdominal ... pathophysiology #signs
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
conniventes (“keyboard sign ... Criteria for SBO ... free fluid (tanga sign ... Obstruction #Jejunum #SBO ... clinical #ultrasound #abdominal
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Bowel Overgrowth (SIBO ... Obstruction • Ascites ... Functional Bloating • Abdomino-phrenic ... EmoryGastroHep #Abdominal
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Treat if other signs ... (fever, abdominal ... Diuretics ↑ ascitic ... mortality • Ascitic
Doge Cap Sign on Abdominal X-Ray aka Morrison Pouch Sign
Triangular shaped lucency below the 11th rib
Doge Cap Sign on ... Abdominal X-Ray ... Morrison Pouch Sign ... is so called because ... #Abdominal #XRay
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Symptoms: cough, abdominal ... distension, wheeze, abdominal ... More Specific Signs ... Less Specific Signs ... peripheral edema, ascites