15 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
Small Bowel Obstruction and Ascites on POCUS

This patient drove to the ED complaining of 2 hours
of 2 hours of symptoms ... Which symptoms do ... Labeled Schematic ... #POCUS #Abdominal ... #clinical #ultrasound
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Treat if other signs ... (fever, abdominal ... only if worsening symptoms ... #diagnosis #management
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
- May involve symptoms ... Positive Carnett's sign ... • Hernias - Past ... to incisional hernias ... : clinical examination
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Fraction (HFrEF) Clinical ... Typical symptoms ... : cough, abdominal ... peripheral edema, ascites ... heartfailure #diagnosis #management
Stone-In-Neck Sign on Gallbladder POCUS

This 40yo F presented with R flank pain. Here is her biliary
sign). ... surgery based on her symptoms ... #Sign #POCUS #clinical ... gallbladder #ultrasound #abdominal ... #labeled #cholelithiasis
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
postpartum): • Initial symptoms ... nausea, vomiting, abdominal ... develops (DIC, ascites ... Maternal Support - Critical ... obgyn #diagnosis #management
Bullous Pemphigoid - Diagnosis and Management Summary
Pathophysiology: Autoantibody-mediated damage to epithelial basement membrane -> separation of
Diagnosis and Management ... epidermis from dermis Clinical ... Signs/Symptoms/ ... and crusts at sites ... erosions in ~20% Management
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
immune compromise Clinical ... Signs/Symptoms: ... Abdominal or flank ... be present or signs ... consider KUB or abdominal
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