21 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 ... Infarction: • ... endocarditis • Trauma ... compression • Splenic ... differential #diagnosis #causes
Thrombocytosis - Differential Diagnosis
Platelet Count > 450
Reactive:
 • Anemia/blood loss (Fe deficiency)
 • Infection/Sepsis
 • Non-infectious
deficiency) • Infection ... rheumatologic, trauma ... 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 ... Diagnosis Algorithm Infection ... disorders • Asplenia ... 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 ... burns, Myocardial 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 Splenic Infarcts - Differential Diagnosis
 • Myeloid disorders: Myeloproliferative neoplasms (myelofibrosis, polycythemia vera, essential
Causes of Splenic ... splenomegaly • Trauma ... Wandering spleen • Infection ... Cytomegalovirus, Malaria #Splenic ... #Infarction #Differential
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Causes of Thrombocytopenia ... infiltration: malignancy, infection ... , endocarditis Splenic ... Diagnosis #Framework #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