113 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
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 Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... thrombosis • Splenic ... disease • Acute liver ... Algorithm #Hepatology #causes
Thrombocytosis - Differential Diagnosis
Platelet Count > 450
Reactive:
 • Anemia/blood loss (Fe deficiency)
 • Infection/Sepsis
 • Non-infectious
Post-splenectomy or Asplenia ... Differential #Diagnosis #causes
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Post-Hepatic: • Cardiac causes ... sarcoidosis) • Liver ... metastasis • Fatty liver ... thrombosis • Splenic ... Differential #Diagnosis #causes
Causes of Neutrophilia - Increased Neutrophils - Differential Diagnosis Algorithm
Infection
 • Bacterial
 • Abscess
 • Viral
Medications
Causes of Neutrophilia ... disorders • Asplenia ... Diagnosis #Algorithm #Causes
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
Splenic Rupture and Hematoma on POCUS

Clip shows a hematoma where you would otherwise see the spleen.
Splenic Rupture ... and Hematoma on POCUS ... FAST location most ... Herbst @EUSmkh #Splenic ... Rupture #Hematoma #POCUS