9 results
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Palmar erythema 2) ... ascitic fluid, Dilated ... abdominal wall ... Ascites, Palpable gallbladder
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
/rigors &DCed. 2/ ... 2 blood cx + for ... #Abscess #Hepatic ... #POCUS #Clinical ... #Ultrasound #Abdominal
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... pain for 2 days ... #CBD #POCUS #clinical ... #ultrasound #gallbladder ... #clinical #ultrasound
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
patient, severe abdominal ... Live 12-week ruptured ... an IUP or not. #2 ... Transvaginal #Pelvic #Ultrasound ... #POCUS #clinical
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Mirizzi syndrome, a common ... hepatic duct obstruction ... CBD is also dilated ... #ultrasound #abdominal ... #clinical #valves
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
F with rec dx colon ... s/p colectomy, liver ... L about 2 weeks ... #SBP #clinical ... #ultrasound #abdominal
MTP Septic arthritis due to non-tuberculous mycobacterium without effusion
We had an immunosuppressed patient with a concerning
immunosuppressed 2) ... arthritis 3) ultrasound ... They would have diluted ... Definitely not a common ... #pocus #joint #
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
droppings • Most common ... duration is 6 to 12 ... has five major clinical ... Rhinocerebral 2) ... Pulmonary 3) Abdominal
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
/50 Rule (part 2) ... seen on a CXR.2 ... consider intra-abdominal ... bleeding often from a liver ... Contusion Most commonly