11 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP ... ) on Abdominal POCUS ... SBP. ... #Peritonitis #SBP ... #Abdominal #POCUS
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
Complex (NOT simple ... ) ascites on Abdominal ... ) secondary to SBP ... Labeled Schematic ... #ultrasound #SBP
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... Differential #Diagnosis #criticalcare ... #management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #Peritonitis #SBP
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 ... Setup - Ultrasound ... #treatment #workup
Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites in SBP ... w/ spontaneous bacterial ... could predict SBP ... Echogenic #Ascites #SBP ... #POCUS #abdominal
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... On cipro for sbp ... PittIMPOCUS #Complex ... #SBP #clinical ... #ultrasound #abdominal
Plicae Circulares characteristic of small bowel are most frequent & prominent in JENUNUM on POCUS

What segment
in JENUNUM on POCUS ... of duodenum Labeled ... PlicaeCirculares #SBO ... #Abdominal #Ultrasound ... #POCUS #clinical
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 ... #Abdominal #clinical ... #ultrasound
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
venous (DVT/PE) or arterial ... binds heparin-PF4 complex ... Significant false ⊕’s, so ... Confirmatory test ↑Se/Sp ... #Treatment #Hematology