23 results
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Criteria for SBO ... free fluid (tanga sign ... Obstruction #Jejunum #SBO ... #POCUS #clinical ... #ultrasound #abdominal
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
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Peritonitis Clinical ... • Chills • Abdominal ... pain Diagnosis ... stain/culture Management ... #Peritonitis #SBP
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Insufficiency, Liver ... Severe auto-PEEP, Abdominal ... algorithm #treatment #management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... (fever, abdominal ... , mortality in SBP ... #diagnosis #management
Dilated Stomach on POCUS

This coronal plane view of the stomach can be helpful in the setting
setting of an SBO ... (for diagnosis ... Gastric #POCUS #abdominal ... #clinical #anatomy ... #labeled
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
• Hypotension: SBP ... <90, SBP drop >40 ... Mental Status (SBP ... Full Set of Vital Signs ... Setup - Ultrasound
Small Bowel Obstruction on POCUS
73 yo F abdominal pain and vomiting. Dx made within minutes.
POCUS 73 yo F abdominal ... "poo and fro" sign ... MaimoUltrasound #SBO ... Obstruction #POCUS #clinical ... #abdominal #ultrasound
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... ) Differential Diagnosis ... Maternal Support - Critical ... obstetrics #obgyn #diagnosis
Small Bowel Obstruction (SBO) on POCUS

A patient came into our ED with abdominal pain... within 5
Bowel Obstruction (SBO ... hitting the door a diagnosis ... #Obstruction #SBO ... #Abdominal #Ultrasound ... #clinical #POCUS