10 results
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... (fever, abdominal ... , mortality in SBP ... #SBP #diagnosis
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Causes of Intestinal ... - Differential Diagnosis ... Hernia: External abdominal ... abscess, "Starch" peritonitis ... #SBO #bowel #Causes
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... cirrhosis + TB, peritonitis ... dullness, puddle sign ... auscultatory percussion, abdominal
Primary Adrenal Insufficiency
Addison's Disease - Damage of the adrenal glands with lack of cortisol, androgens and
aldosterone Causes ... /vomiting • Abdominal ... patients • ↓ BP ... Serum DHEAS Diagnosis ... endocrinology #diagnosis
Small Bowel Obstruction
67 y/o M with PMH colon cancer s/p resection and colostomy, multiple SBO managed
colostomy, multiple SBO ... and increasing abdominal ... diagnosis of SBO ... You do not see signs ... #AbdominalUS #SBO
Small Bowel Obstruction on POCUS

This 28yo female with history of Crohn's disease presents with abdominal pain,
Obstruction on POCUS ... pain, nausea, and ... Surgery for this SBO ... , diagnosed with ... #SBO #SmallBowel
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
without warning signs ... positive tourniquet test ... and no apparent focus ... Intense abdominal ... classification #diagnosis
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... to bolus these values ... / hypoxemia -> focus ... tests before beginning ... - Bacterial peritonitis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... or sed rate): Value ... GCA, but normal values ... the “Chewing gum test ... GCA #Temporal #Signs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... Several of the diagnoses ... This post will focus ... consider intra-abdominal ... Most commonly caused