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Ascites: Lateral view of abdomen tensely distended due to ascites.

Charlie Goldberg, M.D. - UCSD Catalog of

abdomen tensely distended ... Images #Clinical #Photo

Ascites: Abdomen symetrically distended secondary to fluid buildup in peritoneal cavity.
Note bulging flanks as fluid

Abdomen symetrically distended ... Images #Clinical #Photo

External Jugular Vein Distention: The picture on the left demonstrates a markedly distended
right external jugular vein

demonstrates a markedly distended ... Images #Clinical #Photo

Right Sided Heart Failure Mnemonic: "AW HEAD"
ANOREXIA & NAUSEA

WEIGHT GAIN

HEPATOMEGALY

EDEMA (BIPEDAL)

ASCITES

DISTENDED

ASCITES DISTENDED

Causes of Urinary Tract Obstruction - Differential Diagnosis Algorithm
Upper Tract - Bladder NOT distended on ultrasound,

- Bladder NOT distended ... Lower Tract - Distended

High Pressure Injection Injury

• External exam may look deceptively innocuous
• Delayed pain as inflammation sets

inflammation sets in • Distended

Pemberton's Sign caused by a Retrosternal Thyroid Goiter

Elevating the arms causes the previously flat neck veins

veins to become distended

Causes of Pelvic Mass - Differential Diagnosis Algorithm
Gastrointestinal:
• Appendiceal abscess
• Diverticular abscess
• Diverticulosis

Genitourinary: • Distended

ACUTE ABDOMEN systemic sonographic approach to acute abdomen in emergency
department - Mnemonic and Differential

A -

Biliary tract D - Distended

Small and Large Bowel Obstruction - Differential (DISTEND HIM)

Diverticulitis
Inflammatory bowel disease (Crohn’s, UC)
Surgery (adhesions)

Differential (DISTEND

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