61 results
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... • Chills • Abdominal ... cells/mL • Positive ... stain/culture Management ... #Peritonitis #SBP
Positive FAST exam - Morrison’s Pouch

Ever so often its nice to gaze upon a crisp &
Positive FAST exam ... Pouch Ever so ... pocus #ultrasound #clinical ... #abdominalus #trauma ... #FAST #Positive
Free Air at the Peritoneal Line on POCUS

Chief Complaint: "my girl stabbed me"

Labeled Diagram: https://twitter.com/EUSmkh/status/752864010337415169

- Dr.
stabbed me" Labeled ... EUSmkh #FreeAir #Abdominal ... POCUS #Ultrasound #Clinical ... Intraabdominal #Trauma
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
simple) ascites on Abdominal ... ) secondary to SBP ... Labeled Schematic ... Complex #POCUS #clinical ... #ultrasound #SBP
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #PhysicalExam #clinical ... #video #trauma
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #PhysicalExam #clinical ... #video #trauma
Gastroschisis on POCUS

Common ED complaint--VB/OB.  G1P0.  No heart tones heard so POCUS done.
heart tones heard so ... Note abdominal wall ... Labeled Schematic ... Gastroschisis #POCUS #clinical
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
No other intra-abdominal ... Labeled Schematic ... hemorrhage #FAST #Positive ... #trauma #clinical
Abdominal Aortic Aneurysm (AAA) during CPR on POCUS

Still not sure about intra-arrest POCUS? Here is "just
Abdominal Aortic ... No trauma. ... RJonesSonoEM #Abdominal ... Aneurysm #AAA #CPR ... POCUS #ultrasound #clinical
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
bacterial "culture-positive ... same as culture-positive ... bacterascites positive ... signs (fever, abdominal ... #diagnosis #management