29 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 ... : Vasculitis, 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
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 ... Is this FAST positive ... fluid seen near splenic ... #Exam #POCUS #trauma
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
→ Refer to hematology ... • Nonmalignant hematologic ... Vasculitides, IBD, Celiac disease ... infarction, Severe trauma ... period • Others: Asplenia
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 Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 • Mechanism: ischemic pain
 • Can present
Causes of Bone/Joint ... in Sickle Cell Disease ... Common d/t impaired splenic ... Pain #SickleCell #Disease ... #hematology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... thrombosis • Splenic ... • Infiltrative disease ... Diagnosis #Algorithm #Hepatology ... #causes
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Post-Hepatic: • Cardiac causes ... • Infiltrative diseases ... Veno-occlusive disease ... thrombosis • Splenic ... #hepatology