12 results
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
on Abdominal POCUS ... ) secondary to SBP ... Labeled Schematic ... Complex #POCUS #clinical ... #ultrasound #SBP
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Approach and Differential ... dullness, puddle sign ... auscultatory percussion, abdominal ... wall hernias (umbilical ... incisional). 3) Signs
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Treat if other signs ... (fever, abdominal ... Diuretics ↑ ascitic ... #diagnosis #management
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Positive Carnett's sign ... musculoskeletal symptoms • Hernias ... to incisional hernias ... : clinical examination ... #Pain #differential
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
the ED), c/w an SBO ... Labeled Schematic ... 999003416323084289 #SBO ... #POCUS #Abdominal ... #clinical #ultrasound
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... infiltration) Differential ... Maternal Support - Critical ... obgyn #diagnosis #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Symptoms: cough, abdominal ... distension, wheeze, abdominal ... peripheral edema, ascites ... heartfailure #diagnosis #management
Pneumopericardium on POCUS Echocardiogram

This 70yo male presents with sob. He is in a left lateral decub
presents with sob ... pericard effusion, no signs ... of prior hiatal hernia ... Labeled Schematic ... Echocardiogram #clinical
Aortoenteric Fistula - Diagnosis and Management Summary
Epidemiology:
• Uncommon but life-threatening
• Most common site of bowel connection
the duodenum Clinical ... Signs/Symptoms: ... , and palpable abdominal ... Not reliable, so ... • Should be on differential
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... Behcet disease) Differential ... • Nonsurgical abdominal ... Syndrome #diagnosis #management ... #signs #symptoms