7 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Cirrhosis with fever ... Diverticular abscess ... Note gas bubbles ... ultrasound #Gas #Bubbles ... Pneumoperitoneum #Complex
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... weeks ago, no fevers ... On cipro for sbp ... bright white gas bubbles ... ultrasound #abdominal #abscess
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
DIAGNOSTICS Paracentesis ... if other signs (fever ... • Early (<12h) paracentesis ... Day 3 repeat paracentesis ... fluoroquinolone to complete
Pelvic Intraabdominal Abscess on POCUS
Fever, low BP with lower abd pain x 8 days-worsening. WBC-28.9K. Pelvis
Intraabdominal Abscess ... on POCUS Fever, ... low BP with lower ... Pelvis sag of RUSH ... on the pelvis sag
Bladder Air secondary to Colovesical Fistula on POCUS

40's male with fever, low abd pain, cloudy urine/bubbles.
40's male with fever ... , cloudy urine/bubbles ... Bldr sag clip. ... with diverticular abscess
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
• ABCs • IV access ... Physical exam (complete ... contrast (most sn/sp ... suspicion) • +/- bubble
Causes of Fever in the Immunocompromised Host - Differential Diagnosis Algorithm
Structural Defect - Asplenia/HypospIenism
 • Bacteremia/Septic
Causes of Fever ... Differential Diagnosis Algorithm ... Infection • Abscess ... • Neisseria spp ... Infection #Fever