43 results
Traumatic Splenic Hematoma on LUQ FAST Exam

31 yo M. Minor blunt trauma from bicycle accident. No
Traumatic Splenic ... Minor blunt trauma ... hyperechoic hematoma in splenic ... @eabramsMD #Splenic ... #POCUS
Etiology of Splenic Infarction:
 • Hypercoagulability: Factor V Leiden, Antiphospholipid syndrome, Malignancy
 • Embolic disease: Atrial
Etiology of Splenic ... endocarditis • Trauma ... cell disease • Splenic ... compression • Splenic ... differential #diagnosis #causes
Thrombocytosis - Differential Diagnosis
Platelet Count > 450
Reactive:
 • Anemia/blood loss (Fe deficiency)
 • Infection/Sepsis
 • Non-infectious
rheumatologic, trauma ... Post-splenectomy or Asplenia ... Differential #Diagnosis #causes ... #Platelets #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 ... Is this FAST positive ... fluid seen near splenic ... #Exam #POCUS #trauma
Traumatic Spleen Hematoma on POCUS
Peds blunt abd trauma is scary.. A reminder why #POCUS negative for
Peds blunt abd trauma ... negative for FAST ... Straight to Trauma ... Spleen #Hematoma #splenic ... #Traumat #clinical
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
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
→ Refer to hematology ... • Nonmalignant hematologic ... infarction, Severe trauma ... period • Others: Asplenia ... Diagnosis #Algorithm #hematology
Positive LUQ on FAST Exam - Rupture Spleen

POCUS pearl: the splenorenal ligament tethers the spleen and
Positive LUQ on FAST ... Rupture Spleen POCUS ... Spleen #clinical #trauma ... #ultrasound #splenic ... #pocus
Positive FAST Exam Perihepatic Window

Multiple pts. with significant injuries from MVC. Young adult with femur fracture
Positive FAST Exam ... shattered/Grade V splenic ... POCUS-game changer ... Positive #Clinical #POCUS ... Ultrasound #RUQ #Trauma