17 results
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Gastric Outlet Obstruction ... • Ascites • ... Intestinal Pseudo obstruction ... Distension #Bloating #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
bacterial "culture-positive ... same as culture-positive ... bacterascites positive ... signs (fever, abdominal ... SBP #diagnosis #management
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... run of the mill" ascites ... perforation and obstruction ... to look for the abdominal ... POCUS #clinical #ultrasound
Six-step approach to ultrasound-guided central venous catheter placement

I. Identify anatomy of insertion site and localization of
Six-step approach to ultrasound-guided ... Use compression ultrasound ... Confirm wire position ... #CentralLine #Ultrasound ... Catheter #Venous #Management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Symptoms: cough, abdominal ... venous pressure, positive ... peripheral edema, ascites ... identificaton of obstructive ... heartfailure #diagnosis #management
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
urinary tract outlet obstruction ... Abdominal or flank ... consider KUB or abdominal ... ultrasound as initial ... also important Management
Positive LUQ Fast Exam

Martial arts kicked in abd; +echogenic material LUQ;VSS, CT: Mod ascites w thickened
Positive LUQ Fast ... LUQ;VSS, CT: Mod ascites ... jchristianfox #FAST #Positive ... #LUQ #pocus #ultrasound ... #clinical #abdominalus
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... balance >3-4 liters positive ... increase the risk of abdominal
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
Small Bowel Obstruction ... and Ascites on ... SBO #SmallBowel #Obstruction ... #Abdominal #clinical ... #ultrasound