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Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient

satisfaction Appendix ... Pathways #Table #MSK

Approach to Suspected Appendicitis - Management Algorithm

Suspected Appendicitis:
• Vague periumbilical pain → localized RLQ pain

pain → localized RLQ ... Algorithm #surgery #appendix

Appendicitis on Abdominal Ultrasound

Noncompressible tubular structure with adjacent hyperechoic peri-appendiceal fat.

Dr. J. Christian Fox @jchristianfox

#Appendicitis #Appendix

#Appendicitis #Appendix ... POCUS #Ultrasound #Clinical

Appendicitis on POCUS

Gorgeous appendicitis just beneath the peritoneal line with the psoas mm laterally.

Labeled Schematic: https://twitter.com/EUSmkh/status/841741820375797762

#Appendicitis

#Appendicitis #appendix ... #POCUS #clinical

Acute subhepatic appendicitis on POCUS
Amazing how high an appendix can be. Imagine how different the clinical

Amazing how high an appendix ... different the clinical ... appendicitis #POCUS #clinical ... #ultrasound #RUQ ... #abdominal #appendix

POCUS diagnosis of acute appendicitis:
(1) Blind-ended
(2) Target shaped tubular structure
(3) Originating from the cecum
(4) Non-compressible
(5) Non-peristalsing

Appendicitis #Abdominal #Appendix ... #Clinical #POCUS

Positive FAST in the RUQ view demonstrating echogenic clot in Morison’s pouch with adjacent anechoic free

Positive FAST in the RUQ ... free fluid (*) #Clinical ... FAST #FASTExam #RUQ

Acute Appendicitis on POCUS (Linear Probe)

30M with generalized abd pain for past day. Looks uncomfortable;

ttp, more so in RLQ ... free fluid in the RLQ ... Appendicitis #POCUS #clinical ... ultrasound #adominal #appendix

Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
- Patient with knee in extension. Push posterior on

of patella then ask ... Patellar #Grind #clinical ... Patellofemoral #msk

Mesenteric adenitis on Abdominal POCUS

Child with RLQ abd pain, low-grade fever.
Answer: Mesenteric adenitis
Initial study

Child with RLQ ... lymph nodes in the RLQ ... Appendix was normal ... POCUS #ultrasound #clinical ... #RLQ

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