23 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... : Loss of body hair ... Aspiration of ascitic ... fluid, Dilated abdominal ... #signs #diagnosis
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Perforation on POCUS ... Look at all the ... to look for the abdominal ... #Perforation #POCUS ... #clinical #ultrasound
Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
Intraabdominal Abscess on POCUS ... Answer: Large intra-abdominal ... hx of Crohn's disease ... signatures of air ... #ultrasound #clinical
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Symptoms: cough, abdominal ... distension, wheeze, abdominal ... peripheral edema, ascites ... coronary artery disease
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... POCUS - Enhanced ... Peritoneal Stripe Sign ... #Abdominal #POCUS ... #EPSS #clinical
Cold Urticaria
Prevalence - 0.05% in the population
Disease onset - Mostly 2nd to 4th decades of life
Causes
the population Disease ... life Causes and clinical ... contact with cold air ... fatigue, Nausea, abdominal ... doi: 10.1111/all
Enhanced peritoneal stripe sign suggestive of free air in the peritoneum (also known as that other
peritoneal stripe sign ... suggestive of free air ... 80 yo M with abdominal ... pneumoperitoneum #freeair #clinical ... #pocus #abdominal
TIE Fighter Sign on POCUS - Uterus floating in pelvic ascites
Not uncommon during nephrology rounds in
TIE Fighter Sign ... on POCUS - Uterus ... uncommon during nephrology ... in long axis, all ... #clinical #ascites
Bibasilar Atelectasis secondary to massive ascites

Finally, large volumes of intra-abdominal fluid can lead to elevated hemi-diaphragms-->bibasilar
secondary to massive ascites ... volumes of intra-abdominal ... optiflow 60% to room air ... pulmonary #lung #clinical ... #pocus #ultrasound
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Treat if other signs ... (fever, abdominal ... Recommended for all ... advanced liver disease ... SBP #diagnosis #management