11 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... Clinical Presentation ... , 88% spec • Contrast-enhanced ... cirrhosis • Intra-pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
States has bilat ... travel hx, home meds ... /lung sliding: Pulmonary ... shred sign Rt Zone 1. ... #clinical #ultrasound
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live 12-week ruptured ... Pearls: #1 Confirm ... an IUP or not. #2 ... Transvaginal #Pelvic #Ultrasound ... #POCUS #clinical
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
and persists > 12 ... two occasions 4 hrs ... Urine Dipstick ≥2+ ... doubling of Cr), pulmonary ... diagnosis so have high clinical
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
a triad of: 1) ... 2) pulmonary vascular ... of orthodeoxia CLINICAL ... dilatations - contrast-enhanced ... mortality rate of ~12%
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... disease and pulmonary ... 1. ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Gunshot Wound on Hepatic Ultrasound
Note the echogenic foci (orange arrow) adjacent to the hepatic vein with
Key points: 1. ... your advantage. 2. ... #Gunshot #GSW #Liver ... #RUQ #Clinical ... ForeignBody #FB #Pellet #POCUS
Diverticulitis on POCUS
55 m presents to the ED with LLQ pain...
No PMH, no meds, no prior
No PMH, no meds, ... Has been able to ... HB 12, WBC 13, PLT ... blood, 1+ prot, ... #clinical #ultrasound
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
HPI: 1 day of acute ... bedside assessment 2) ... , with clinical ... showing retained contrast ... #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
/50 Rule (part 1) ... and second ribs.1 ... /50 Rule (part 2) ... seen on a CXR.2 ... bleeding often from a liver