88 results
Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No
Traumatic Splenic ... Hematoma on LUQ FAST ... hyperechoic hematoma in splenic ... @eabramsMD #Splenic ... Ultrasound #Trauma #POCUS
AAST spleen / splenic injury scale 

- Morgan Pinkston Eutermoser
@DenvERdgmd

#Diagnosis #Traumatic #Spleen #Splenic #Injury #Rupture #Scale
AAST spleen / splenic ... Traumatic #Spleen #Splenic
Etiology of Splenic Infarction:
 • Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 • Embolic disease: Atrial
Etiology of Splenic ... cell disease • Splenic ... artery aneurysm, Splenic ... compression • Splenic ... differential #diagnosis #causes
Thrombocytosis - Differential Diagnosis
Platelet Count > 450
Reactive:
 • Anemia/blood loss (Fe deficiency)
 • Infection/Sepsis
 • Non-infectious
Post-splenectomy or Asplenia ... Differential #Diagnosis #causes ... #Platelets #hematology
Causes of Neutrophilia - Increased Neutrophils - Differential Diagnosis Algorithm
Infection
 • Bacterial
 • Abscess
 • Viral
Medications
Causes of Neutrophilia ... disorders • Asplenia ... Diagnosis #Algorithm #Causes ... #Hematology
Causes of Splenomegaly - Differential Diagnosis Algorithm
Infectious
 • Bacterial
 • Viral (EBV)
 • Parasitic
 • Fungal
Congestive
Causes of Splenomegaly ... Hepatic, Portal, Splenic ... Spherocytosis • Acquired causes ... Diagnosis #Algorithm #Causes ... #Hematology
Positive FAST Exam on POCUS
Pt fell off her bike. Is this FAST positive or negative? 
Positive
Positive FAST Exam ... on POCUS Pt fell ... fluid seen near splenic ... #Positive #FAST ... #Exam #POCUS #trauma
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... , endocarditis Splenic ... Diagnosis #Framework #hematology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... thrombosis • Splenic ... Diagnosis #Algorithm #Hepatology ... #causes
Pancytopenia - Differential Diagnosis Algorithm
 • 12-13 g/dL,
 • ANC < 1800/uL,
 • platelet < 150,000/uL

Initial
reticulated-plts) • Splenic ... Diagnosis #Algorithm #hematology