29 results
Abdominal X-Ray Anatomy and Interpretation Checklist
 - Is there bowel dilatation, wall edema or pneumatosis?
 -
Abdominal X-Ray ... bowel dilatation, wall ... #radiology #diagnosis ... #labeled #anatomy ... #clinical
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
on Abdominal POCUS ... translate to Twitter well ... ) secondary to SBP ... Labeled Schematic ... Complex #POCUS #clinical
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever ... /abd pain-? ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Aspiration of ascitic ... fluid, Dilated abdominal ... wall veins (caput ... disease #signs #diagnosis
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... • Fever • ... Chills • Abdominal ... pain Diagnosis ... #Peritonitis #SBP
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Bacterial Peritonitis DIAGNOSTICS ... if other signs (fever ... , abdominal pain ... dL and advanced liver ... #diagnosis #management
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Diagnosis Framework ... • Fever • Anorexia ... intolerance • SIBO ... • Abdominal wall ... painAbdominal
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... pain, headache, ... develops (DIC, ascites ... ) Differential Diagnosis ... Maternal Support - Critical
Pediatric Inflammatory Multisystem Syndrome Temporally associated with SARS-CoV-2 infection (PIMS-TS)
Clinical features
all: fever > 101.3 F
most: oxygen
infection (PIMS-TS) Clinical ... features all: ... hypotension some: abdominal ... pain, diarrhea, ... #coronavirus #diagnosis
Chronic Abdominal Pain - Differential Diagnosis Algorithm
Constant / Chronic-Fleeting / Post-Prandial
Upper Quadrant:
 • Peptic ulcer disease
Chronic Abdominal ... Diagnosis Algorithm ... Gastric cancer • Liver ... location/diffuse: • Ascites ... • Muscle wall