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Ultrasound in the Evaluation of Right Upper Quadrant Abdominal Pain

- Dr. Tom Fadial https://twitter.com/thame

#Hepatobiliary #RUQ #AbdominalPain
Ultrasound in the Evaluation ... Upper Quadrant Abdominal ... AbdominalPain #Algorithm ... #POCUS #Ultrasound ... #Differential
POCUS Algorithm for Chest Pain

Integrating POCUS in crashing chest pain is complex. Know the views that
POCUS Algorithm ... chest pain is complex ... narrowing the differential ... identify sick pts needing ... #Algorithm #CriticalCare
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
signs (fever, abdominal ... small study, low-risk ... SBP • PPIs = ↑ risk ... fluoroquinolone to complete ... not) - ↓ rebleeding
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Evaluation Major ... event, follow ACC algorithm ... - what is the bleeding ... undergoing AAA or upper abdominal ... #Evaluation #stratification
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... thoracentesis, paracentesis ... • Other intra-abdominal ... node biopsy) • Complex ... • Major intra-abdominal
Perforated Gastric Ulcer on Abdominal POCUS
Not all FASTs are simple. Take a look at this! There
Gastric Ulcer on Abdominal ... POCUS Not all ... There is complex ... Your differential ... great protocol for evaluating
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Mycobacterium tuberculosis complex ... Food products Risk ... Avium Complex (MAC ... enzymes, diarrhea, abdominal ... NTM #Infections #differential
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
associated with a high risk ... Utility: • Syncope evaluation ... • Risk stratification ... Identifies patients at risk ... #cardiology #differential