11 results
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
and Clinical Findings ... of bowel lumen Complete ... bowel-movements (suggests complete ... light-switch pain") with complete ... #sbo #ileus #pathophysiology
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... obstruction. ... to look for the abdominal ... Perforation #POCUS #clinical ... #ultrasound #complex
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Note gas bubbles and ... #POCUS #clinical ... #ultrasound #Gas ... Pneumoperitoneum #Complex ... #Ascites
Complex Ascites on POCUS

- Dr. Michael I. Prats @PratsEM

Large amount of free fluid seen in the
Complex Ascites ... possibly hemorrhagic and ... #Complex #Ascites ... #POCUS #clinical ... #ultrasound #abdominal
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Pregnancy (AFLP) Pathophysiology ... nausea, vomiting, abdominal ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... age • Monitor and
Basics of Waveform Capnography
Waveform capnography assesses ventilation by monitoring exhaled carbon dioxide
Can use measurement and morphology
cycle to uncover pathophysiology ... regarding pulmonary pathophysiology ... CLINICAL APPLICATIONS ... REBREATHING/AIR ... loss of a-angle (aka
Bibasilar Atelectasis secondary to massive ascites

Finally, large volumes of intra-abdominal fluid can lead to elevated hemi-diaphragms-->bibasilar
volumes of intra-abdominal ... 4L off by para and ... optiflow 60% to room air ... pulmonary #lung #clinical ... #pocus #ultrasound
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
urinary tract outlet obstruction ... immune compromise Clinical ... Abdominal or flank ... Pathophysiology: ... ultrasound as initial
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... Point of Care Ultrasound ... PittIMPOCUS #Complex ... #SBP #clinical ... #ultrasound #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