19 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... SBP. ... #Abdominal #POCUS ... #clinical #ultrasound ... Pneumoperitoneum #Complex
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 ... POCUS #clinical #ultrasound ... #abdominal
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 ... 869585940200796160 #Ascites #Complex ... POCUS #clinical #ultrasound ... #SBP
Candidates for Medical Treatment of Ectopic Pregnancy with Methotrexate 
 - Hemodynamically stable 
 - No
ectopic rupture - Ability ... willingness to comply ... cardiac activity on ultrasound ... Ectopic #Pregnancy #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Full Set of Vital Signs ... Setup - Ultrasound ... Reversibles 3) Stabilize ... Shock #Diagnosis #Management
Seagull Sign - Celiac Artery on Abdominal POCUS
This can look so perfect and symmetric.
Seagull Sign - Celiac ... Artery on Abdominal ... This can look so ... Celiac #Artery #Abdominal ... POCUS #clinical #ultrasound
Metformin Associated Lactic Acidosis (MALA) 

Pathophysiology of MALA
 - Metformin interferes with the activity of the
metformin binds to complexes ... Diagnosis of MALA - Abdominal ... - hemodynamic instability ... Toxicology #Diagnosis #Management
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
compromise Clinical Signs ... Abdominal or flank ... be present or signs ... consider KUB or abdominal ... ultrasound as initial
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... Treat if other signs ... (fever, abdominal ... fluoroquinolone to complete ... #diagnosis #management
Small Bowel Obstruction on POCUS
73 yo F abdominal pain and vomiting. Dx made within minutes.
POCUS 73 yo F abdominal ... "poo and fro" sign ... MaimoUltrasound #SBO ... POCUS #clinical #abdominal ... #ultrasound