10 results
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
postpartum): • Initial symptoms ... , vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... age • Monitor and
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
Patient had perforated ... anterior to the liver ... Pleural air would ... #clinical #ultrasound ... #Abdominal
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
ileus), intra-abdominal ... of other causes ... #hepatology #liver ... #pocus #clinical ... #air
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... between peritoneum and ... liver (ie, intestinal ... #Abdominal #POCUS ... EPSS #clinical #ultrasound
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... • Person who lives ... no apparent focus ... Intense abdominal ... accumulation (ascites
Bibasilar Atelectasis secondary to massive ascites

Finally, large volumes of intra-abdominal fluid can lead to elevated hemi-diaphragms-->bibasilar
volumes of intra-abdominal ... under-recognized cause ... optiflow 60% to room air ... lung #clinical #pocus ... #ultrasound
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Collapse: • Pathophysiology ... → Syncope • Signs ... /Symptoms: - Lightheadedness ... - Headache - Abdominal ... differential #diagnosis #causes
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... Whipple surgery and ... Both cause intrahepatic ... #clinical #abdominal ... #ultrasound #Liver
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Ascites on POCUS ... Which symptoms do ... Resolution: Nausea ... #POCUS #Abdominal ... #clinical #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... consider intra-abdominal ... bleeding often from a liver ... Most commonly caused