9 results
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple ... POCUS (very subtle ... ) secondary to SBP ... #Complex #POCUS ... clinical #ultrasound #SBP
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... SBP. ... POCUS for win. ... Pneumoperitoneum #Complex ... #Ascites
Algorithm for the differentiation between simple and complex febrile seizures. Guidelines for evaluation of each. #Diagnosis
Algorithm for the ... between simple and complex ... Guidelines for evaluation ... FebrileSeizure #Fever ... Workup #Simple #Complex
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites ... in SBP on POCUS ... ultrasound_vcu #Complex ... #Ascites #SBP # ... POCUS #clinical
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
uncharacterized fevers ... Consider BCx, CSF evaluation ... (particularly complex ... Diagnosis #Peds #EM #Classification ... #Fever #SBI #SeriousBacterialIllness
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... weeks ago, no fevers ... On cipro for sbp ... PittIMPOCUS #Complex ... #Ascites #POCUS
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... if other signs (fever ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... mortality • Ascitic
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Purpuric Rashes- THE ALGORITHMIC ... petechiae/purpura with fever ... require emergent evaluation ... petechiae/purpura with fever ... petechiae require complete
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
dengue severity classification ... days and presents fever ... and no apparent focus ... accumulation (ascites ... bleeding: based on evaluation