Diverticulitis on POCUS
55 m presents to the ED with LLQ pain...
No PMH, no meds, no prior abd surgeries
Few days of worsening pain left flank/LLQ. Dull, constant. Mildly loose stools, w/o blood. No dysuria. No recent abx use. Intermittent chills. No vomiting. No weight loss. Has been able to maintain good PO intake. No recent travel.
HR 96, BP 144/92, SpO2 100% RA, T 100.0
Well appearing. Mildly tender entire left side of abd/flank. ?CVAT. No rebound or guarding. +BS. Tenderness not worse with abd flexion. +psoas sign on left.
HB 12, WBC 13, PLT 440, BMP, LFTs, lipase normal, UA +1 blood, 1+ prot, no WBCs
POCUS findings were c/w diverticulitis
Sigmoid colon thickening (0.53 cm) > 4-5 mm
Hyperechoic foci in descending/sigmoid colon c/w diverticuli. 

#Diverticulitis #POCUS #clinical #ultrasound #colon
Dr. Gerald Diaz @GeraldMD · 4 years ago
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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