16 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... Note gas bubbles ... Peritonitis #SBP #Abdominal ... #POCUS #clinical ... Pneumoperitoneum #Complex #Ascites
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
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Aspiration of ascitic ... fluid, Dilated abdominal ... Splenornegaly, Ascites ... #signs #diagnosis
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 ... concerning for a bubble ... #Free #Air #Abdominal ... #POCUS #EPSS #clinical
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
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
Peritoneal Dialysis vs Hemodialysis - Advantages and Disadvantages 
Peritoneal Dialysis:
 • Access: Abdominal wall insertion of
Dialysis: • Access: Abdominal ... Previous abdominal ... from insertion sites ... Progressive neurological disease ... #management
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... POCUS performed ... bright white gas bubbles ... #POCUS #SBP #clinical ... #ultrasound #abdominal
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... Inhibitors of Na+K+2Cl ... Postoperative abdominal ... distention • Abdominal ... Excretion #Diuresis #Nephrology