45 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 ... ) secondary to SBP ... POCUS #clinical #ultrasound ... #SBP
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Bacterial Peritonitis (SBP ... SBP. ... #Peritonitis #SBP ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
Femoral Hernia resulting in SBO

A 55yo F with no surgical history presents with abdominal pain and
Femoral Hernia resulting ... in SBO A 55yo ... presents with abdominal ... #SBO #clinical ... #ultrasound #POCUS
Proximal SBO on Point of Care Ultrasound (POCUS) secondary to strangulated umbilical hernia

The happiest strangulated umbilical
Proximal SBO on ... Point of Care Ultrasound ... + proximal SBO ... #Proximal #SBO ... #Obstruction #Ultrasound
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... and Management Ascites ... Presentation in septic shock ... , cefotaxime) SBP ... #Peritonitis #SBP
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Criteria for SBO ... Obstruction #Jejunum #SBO ... POCUS #clinical #ultrasound ... #abdominal
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... in SBP on POCUS ... suspicion for SBP ... #SBP #POCUS #clinical ... #ultrasound
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... Dehydration Shock
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #Peritonitis #SBP
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... • Hypotension: SBP ... <90, SBP drop >40 ... Mental Status (SBP ... Setup - Ultrasound