9 results
POCUS Stewardship
Right Indication - Right Interpretation -Right Integration
Indication → Pre-test Probability → Spectrum of Disease →
→ Spectrum of Disease ... Step 3: Spectrum ... of Disease Consider ... the spectrum of disease ... #ultrasound #management
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 • Renal parenchymal disease
- Renal ultrasound ... cause of renal disease ... Duplex Doppler ultrasound ... ; MRA; abdominal ... aldosteronism • Acromegaly
Whipple Disease (Tropheryma whipplei) - Diagnosis and Management 

Caused by: Tropheryma whipplei

Symptoms and Signs:
1. Migratory poly/oligoarthralgia
Whipple Disease ... Weight loss (90%) 3. ... Abdominal pain; ... positive T. whipplei test ... #diagnosis #algorithm
Adrenal Insufficiency - Diagnosis and Management Summary
Primary Adrenal Insufficiency:
Most Common Cause in the US: Autoimmune Adrenalitis
Other
or metastatic disease ... ) w/ anorexia, abdominal ... A STIM test can ... 8am cortisol <3 ... Diagnosis #Management #Endocrinology
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
Insufficiency Addison's Disease ... Nausea/vomiting • Abdominal ... clue • Blood tests ... Serum cortisol < 3 ... #endocrinology
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
on Transvaginal POCUS ... patient, severe abdominal ... +preg test. ... at the bedside #3 ... Transvaginal #Pelvic #Ultrasound
Cushing's Syndrome - Hypercortisolism - Diagnosis and Clinical Features
1) Skin
 • Thin, easily bruisable skin with
classically purple abdominal ... disturbance, psychosis 3) ... dexamethasone suppression test ... ACTH levels 3) ... signs #symptoms #endocrinology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Ischemic heart disease ... event, follow ACC algorithm ... determine if stress test ... : - Known CV disease ... undergoing AAA or upper abdominal
Small Bowel Obstruction on POCUS

This 28yo female with history of Crohn's disease presents with abdominal pain,
Obstruction on POCUS ... history of Crohn's disease ... presents with abdominal ... Here is her ultrasound ... of >2.5cm, and 3)