47 results
Approach to Suspected Appendicitis - Management Algorithm

Suspected Appendicitis:
 • Vague periumbilical pain → localized RLQ pain
pain → localized RLQ ... tenderness • Rovsing Sign ... Obturator/psoas sign ... Algorithm #surgery #appendix
An example of the wall echo shadow (WES) sign. Well defined, echogenic gallbladder wall with posterior
echo shadow (WES) sign ... WallEchoShadow #WESComplex #Sign ... #Gallstones #Cholelithiasis
Acute “calculus” cholecystitis: gallstones, anterior wall > 3mm and + sonographic murphys sign. “Integral” in managing
sonographic murphys sign ... Cholecystitis #Cholelithiasis
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
bowel sounds, RUQ ... Cardiovascular and vital sign ... Symptoms #spectrum #signs
Biliary Ultrasound Win of the Week! 48F with RUQ pain. Marked echogenicity with shadowing noted. Name
48F with RUQ pain ... Name that sign! ... Wall-Echo-Shadow (WES) sign ... WallEchoShadow #WESComplex #Sign ... #Gallstones #Cholelithiasis
Figure 3. Right upper quadrant view with patient in left lateral decubitus position, revealing an ‘enhancement
peritoneal stripe sign ... Clinical #POCUS #RUQ ... #EPSS #Sign #Pneumoperitoneum
Important Causes of RUQ and Midline Abdominal Pain - Illness Scripts
PUD, Gastroenteritis, Small bowel obstruction, Appendicitis,
Important Causes of RUQ ... EricsMedicalLectures/ #RUQ ... differential #diagnosis #signs
Rovsing Sign on Physical Exam

A positive Rovsing's sign is when there is tenderness in the RLQ
Rovsing Sign on ... positive Rovsing's sign ... tenderness in the RLQ ... palpating the LLQ ... appendicitis #Rovsing #Sign
Gallbladder Perforation with pericholecystic abscess on POCUS

Patient with RUQ pain/fever.  Answer in thread. holecystitis/impacted stone
Patient with RUQ ... #Gallbladder #Cholelithiasis
Bacteremia - Signs of Bacteremia, Risk by Infection Type
CAP 7% 
Cellulitis 2% 
Community- onset fever (req.
Bacteremia - Signs ... - onset fever (req ... #Bacteremia #Signs