29 results
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 ... clinical #ultrasound #SBP
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Guidelines as SBP ... weeks gestation: SBP ... 4 hrs apart or SBP ... Severe Features: SBP ... #differential #
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
• Chills • Abdominal ... stain/culture Management ... #Peritonitis #SBP
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... algorithm #treatment #management
Small bowel obstruction

pain in abdomen; history of previous abdominal surgery
 - Dilated bowel loops
 - multiple
history of previous abdominal ... abdomen #Clinical #Radiology ... AbdominalXRay #SBO
Bone Tumor Location within the Skeleton

Epiphysis: 
Only a few lesions are located in the epiphysis, so
included in the differential ... Metaphysis: NOF, SBC ... Ewing's sarcoma, SBC ... Diaphysis #Epiphysis #Radiology ... #MSK #Differential
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
Causes of Intestinal Obstruction - Differential Diagnosis
Lesions Extrinsic to the Intestinal Wall:
 • Adhesions: Postoperative, Congenital,
Obstruction - Differential ... Hernia: External abdominal ... Inflammatory: Intra-abdominal ... #Obstruction #Differential ... #Diagnosis #SBO
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Pulse deficit/differential ... BP • New AR ... reducing HR and BP ... NTG (Target SBP ... Dissection #diagnosis #management
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Pulse Pressure - Differential ... patient’s absolute SBP ... and DBP. ... Syndrome • Blunt Abdominal ... Pathophysiology #causes #cardiology