Complex (NOT simple) ascites on Abdominal POCUS (very subtle intra-ascitic echoes--didn't translate to

Paracentesis on POCUS Paracentesis to r/o SBP in pt with abd pain & fever; r/o SBP much more common indication than distention alone to do this in ED Labeled Schematic: https://twitter.com/EUSmkh/status/836662327680319490 - Dr. Meghan Herbst https://twitter.com/EUSmkh #Paracentesis #POCUS #Ascites #Clinical #Ultrasound #Guided

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Complex Ascites in SBP on POCUS Setting up for paracentesis. Glad we grabbed the US! ⬆️ suspicion for SBP - VCU Ultrasound @ultrasound_vcu #Complex #Ascites #SBP #POCUS #clinical #ultrasound

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Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS Cirrhosis with fever/abd pain-?SBP. POCUS for win. Secondary bacterial peritonitis. Diverticular abscess with necrotic segment. Note gas bubbles and pneumoperitoneum. Dr. Robert Jones @RJonesSonoEM #Secondary #Bacterial #Peritonitis #SBP #Abdominal #POCUS #clinical #ultrasound #Gas #Bubbles #Pneumoperitoneum #Complex #Ascites

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Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w ascites who presents with abd pain + distention. Transferred to tertiary care center for diagnostic and tx paracentesis. +constipation, last LVP 2 L about 2 weeks ago, no fevers/chills/sweats On cipro for sbp ppx, WBC 12.5, lactate 2.3, INR 1.4. POCUS performed to eval for adequate ascites pocket for dx + tx paracentesis. In this image in particular, we can identify significant septations and loculations as well as an area of hyperechoic fluid w bright white gas bubbles. - Pitt Internal Medicine Point of Care Ultrasound @PittIMPOCUS #Complex #Ascites #POCUS #SBP #clinical #ultrasound #abdominal #abscess

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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 #WallEchoShadowComplex #POCUS #Gallbladder #Clinical #Ultrasound

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Small Bowel Obstruction and Ascites on POCUS This patient drove to the ED complaining of 2 hours of symptoms. Which symptoms do you most expect the patient to have? Resolution: Nausea and Vomiting. This clip shows a dilated loop of small bowel floating in a large amount of FF(not hemoperitoneum from trauma—every cm would represent approx 1L of blood, and she would not have driven to the ED), c/w an SBO in the setting of ascites. Labeled Schematic: https://twitter.com/EUSmkh/status/999003416323084289 #SBO #SmallBowel #Obstruction #Ascites #POCUS #Abdominal #clinical #ultrasound

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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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Colitis on POCUS This 53yo male presents with right sided abdominal pain (maximal ttp where probe is). Colitis. Similar to diverticulitis, noncompressible nonperistalsing with a hyperechoic air-filled center & hypoechoic wall >/=4mm. Labeled Schematic: https://twitter.com/EUSmkh/status/851824257592119297 - Dr. Meghan Herbst https://twitter.com/EUSmkh #Colitis #POCUS #Clinical #Ultrasound #Abdominal

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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

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Appendicitis on POCUS Gorgeous appendicitis just beneath the peritoneal line with the psoas mm laterally. Labeled Schematic: https://twitter.com/EUSmkh/status/841741820375797762 #Appendicitis #appendix #POCUS #clinical #ultrasound #abdominal

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