Meghan Kelly Herbst, MD @eusmkh · 5 years ago
twitter@EUSmkh
twitter@EUSmkh 
Retroperitoneal bleed from an AAA rupture on POCUS

Labeled Schematic: https://twitter.com/EUSmkh/status/8

#Retroperitoneal #bleed #FAST #exam #clinical #pocus #ultrasound #renal
Meghan Kelly Herbst, MD @eusmkh · 5 years ago
UCONN Associate Professor in Emergency Medicine. Ultrasound Fellowship Yale 2011. Family, patients, education, running = my life. https://twitter.com/EUSmkh | https://www.instagram.com/eus_mkh/
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AAA rupture with retroperitoneal bleed on ultrasound 65yo male smoker presents with left flank pain after a
AAA rupture with retroperitoneal bleed on ultrasound 65yo male smoker presents with left flank pain after a fall. BP 100/60, HR 95. What is your next step? Resolution: https://twitter.com/EUSmkh/status/796078587715710976 Surgery consult for this AAA (discovered with graded compression). Retroperitoneal rupture led to syncope and flank pain. #AAA #rupture #retroperitoneal #bleed #POCUS #clinical #Ultrasound #AorticAneurysm #Aorta
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 Severe Hydronephrosis on POCUS Labeled Schematic: https://twitter.com/EUSmkh/status/813831916076015622 - Dr. Meghan Herbst https://twitter.com/EUSmkh #Hydronephrosis #POCUS #Severe #Clinical #Ultrasound #Renal #Nephrology
Severe Hydronephrosis on POCUS Labeled Schematic: https://twitter.com/EUSmkh/status/813831916076015622 - Dr. Meghan Herbst https://twitter.com/EUSmkh #Hydronephrosis #POCUS #Severe #Clinical #Ultrasound #Renal #Nephrology
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 Traumatic Perisplenic Retroperitoneal Hematoma on POCUS Young male with fall from 20 feet. Soft vitals, LUQ/flank
Traumatic Perisplenic Retroperitoneal Hematoma on POCUS Young male with fall from 20 feet. Soft vitals, LUQ/flank pain. No free fluid seen in Morison's pouch or pelvis. Perisplenic diagnosis? Answer: patient has large retroperitoneal hematoma seen. On CT scan had extensive hematoma/hemorrhage with active blush and underwent embolization. Note the distortion of the position of the left kidney on the perisplenic window. Labeled Schematic: https://twitter.com/RJonesSonoEM/status/1225871213354012672 Dr. Robert Jones @RJonesSonoEM #Retroperitoneal #Hematoma #Traumatic #Perisplenic #POCUS #clinical #ultrasound #FAST #Positive
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 Renal Pelvis Stone on POCUS 4th grade female with right mid abdominal pain. Brought from school.
Renal Pelvis Stone on POCUS 4th grade female with right mid abdominal pain. Brought from school. Fall on playground. no PMH. FAST exam trace FF pelvis. Labeled Schematic: https://twitter.com/RJonesSonoEM/status/1222568658888687621 Dr. Robert Jones @RJonesSonoEM #Nephrolithiasis #Renal #Stone #POCUS #sagittal #clinical #ultrasound
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 AAA on POCUS presenting as non traumatic left hip pain. This woman presented with left hip pain.
AAA on POCUS presenting as non traumatic left hip pain. This woman presented with left hip pain. Vascular consult warranted for this 8cm AAA (long axis) presenting as non traumatic left hip pain. Labeled Schematic: https://twitter.com/EUSmkh/status/831557817937051650 - Dr. Meghan Herbst https://twitter.com/EUSmkh #AAA #POCUS #Clinical #Ultrasound #Abdominal #Sagittal #HipPain
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 Severe Hydronephrosis on POCUS Based on this clip, which of the following is most likely abnormal? Resolution: creatinine
Severe Hydronephrosis on POCUS Based on this clip, which of the following is most likely abnormal? Resolution: creatinine can be elevated in the setting of severe hydronephrosis. Labeled Schematic: https://twitter.com/EUSmkh/status/950810342921293824 #Hydronephrosis #POCUS #Severe #Clinical #Ultrasound #Renal #Nephrology
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 Perirenal Retroperitoneal Hemorrhage on POCUS Elderly male with hypotension/abd pain. Perihepatic window shown. Diagnosis? Answer: Patient
Perirenal Retroperitoneal Hemorrhage on POCUS Elderly male with hypotension/abd pain. Perihepatic window shown. Diagnosis? Answer: Patient has retroperitoneal fluid seen. Has small amount of fluid in perirenal space but large amount of fluid in anterior pararenal space. Can where fluid is located in retroperitoneal space help you potentially determine etiology? Labeled Schematic: https://twitter.com/RJonesSonoEM/status/1234487232863535109 #Perirenal #Retroperitoneal #Hemorrhage #Hematoma #POCUS #Clinical #ultrasound
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 Leg Hematoma (secondary to anticoagulation) on POCUS An 80yo with h/o afib presents with distal leg pain
Leg Hematoma (secondary to anticoagulation) on POCUS An 80yo with h/o afib presents with distal leg pain & swelling. What is your diagnosis? Labeled Schematic: https://twitter.com/EUSmkh/status/785896935404208133 - Dr. Meghan Herbst https://twitter.com/EUSmkh #Leg #Hematoma #Anticoagulation #POCUS #Clinical #Ultrasound
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 Cholelithiasis and Wall-Echo-Shadow Complex on POCUS Patient presented with RUQ Pain. Labeled Schematic: https://twitter.com/EUSmkh/status/846787466292088833 - Dr. Meghan Herbst https://twitter.com/EUSmkh #Cholelithiasis
Cholelithiasis and Wall-Echo-Shadow Complex on POCUS Patient presented with RUQ Pain. Labeled Schematic: https://twitter.com/EUSmkh/status/846787466292088833 - Dr. Meghan Herbst https://twitter.com/EUSmkh #Cholelithiasis #WallEchoShadowComplex #POCUS #Gallbladder #Clinical #Ultrasound
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 Anterolateral Papillary muscle rupture on POCUS Echocardiogram Labeled Schematic: https://twitter.com/EUSmkh/status/849251857704902656 #Anterior #Anterolateral #Papillary #muscle #rupture #POCUS #Echocardiogram #Clinical
Anterolateral Papillary muscle rupture on POCUS Echocardiogram Labeled Schematic: https://twitter.com/EUSmkh/status/849251857704902656 #Anterior #Anterolateral #Papillary #muscle #rupture #POCUS #Echocardiogram #Clinical #PLAX #Cardiology
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