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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

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 on POCUS ... #Appendicitis #appendix ... #POCUS #clinical

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

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

Approach to Suspected Appendicitis - Management Algorithm

Suspected Appendicitis:
• Vague periumbilical pain → localized RLQ pain

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

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

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

Acute Appendicitis on POCUS (Linear Probe)

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

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

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Focus on the joint ... EM_RESUS #Clinical #POCUS ... #MSK #Shoulder

Mesenteric adenitis on Abdominal POCUS

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

adenitis on Abdominal POCUS ... Child with RLQ ... lymph nodes in the RLQ ... Appendix was normal ... adenitis #Abdominal #POCUS

Mesenteric adenitis on Abdominal POCUS - Color Doppler

Child with RLQ abd pain, low-grade fever.
Answer:

adenitis on Abdominal POCUS ... Child with RLQ ... lymph nodes in the RLQ ... Appendix was normal ... adenitis #Abdominal #POCUS

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