68 results
Indications for Performing Diagnostic Paracentesis #Diagnosis #Indications #Paracentesis #SBP #SpontaneousBacterialPeritonitis
Performing Diagnostic Paracentesis ... #Indications #Paracentesis ... #SBP #SpontaneousBacterialPeritonitis
Mechanical Bowel Obstruction and Ileus - Pathogenesis and Clinical Findings
Ileus: Functional bowel "blockage", no peristalsis
Mechanical Obstruction:
Mechanical Bowel Obstruction ... lumen Complete obstructions ... Incomplete obstructions ... ) #bowel #obstruction ... #sbo #ileus #pathophysiology
Football Appearance of SBO on POCUS

Dr. Meghan Herbst @EUSmkh

#SBO #POCUS #ultrasound #clinical #small #bowel #obstruction
Appearance of SBO ... Herbst @EUSmkh #SBO ... #small #bowel #obstruction
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
Small Bowel Obstruction (Jejunum) Visualized on POCUS
Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”).
Criteria
Small Bowel Obstruction ... Criteria for SBO ... #Small #Bowel #Obstruction ... #Jejunum #SBO #
Small and Large Bowel Obstruction - Differential (DISTEND HIM)

Diverticulitis 
Inflammatory bowel disease (Crohn’s, UC) 
Surgery (adhesions)
and Large Bowel Obstruction ... #Large #Bowel #Obstruction ... #SBO #Differential
Bloating and Belching - Differential Diagnosis Framework and Workup
Phenotypes:
"The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
Gastric outlet obstruction ... bloater" - Dietary, SIBO ... Celiac disease, SBO
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... ) Large-volume paracentesis ... Hepatology #SAAG #paracentesis
Paracentesis on POCUS

Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much
Paracentesis on ... POCUS Paracentesis ... to r/o SBP in pt ... pain & fever; r/o SBP ... twitter.com/EUSmkh #Paracentesis
Complex Ascites in SBP on POCUS

Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion
Complex Ascites in SBP ... Setting up for paracentesis ... suspicion for SBP ... Complex #Ascites #SBP