Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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19 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
with fever/abd ... Note gas bubbles ... #ultrasound #Gas ... Pneumoperitoneum #Complex ... #Ascites
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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm β€’ ... Chronic fistula has ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Complex Ascites with Air Bubbles in Colonic Perforation on POCUS

Hemodynamically unstable with rigid abdomen.  Patient
Complex Ascites ... Perforation on POCUS ... These are gas bubbles ... to look for the abdominal ... #Perforation #POCUS
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Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
Complex Ascites ... presents with abd ... PittIMPOCUS #Complex ... #Ascites #POCUS ... clinical #ultrasound #abdominal
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Complex Ascites on POCUS

- Dr. Michael I. Prats @PratsEM

Large amount of free fluid seen in the
Complex Ascites ... on POCUS - Dr. ... fluid seen in the abdominal ... #Complex #Ascites ... #POCUS #clinical
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An interesting example of complex ascites on POCUS.  Multiple septations are seen- possibility of inflammation
interesting example of complex ... ascites on POCUS ... #ascites #septations ... #clinical #POCUS ... #abdominal #ultrasound
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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 β€’ Calculate absolute PMN count (total WBC x PMN %)
 β€’ Correct
by inoculating ascitic ... signs (fever, abdominal ... Diuretics ↑ ascitic ... fluoroquinolone to complete ... mortality β€’ Ascitic
Adhesions on abdominal POCUS
U/s can also help detect adhesions-->avoid hitting bowel. A paracentesis was halted on
Adhesions on abdominal ... POCUS U/s can ... patient with massive ascites ... #Adhesions #abdominal ... #POCUS #ultrasound
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Echogenic Ascites in SBP on POCUS
RUQ FF in a pt w/ spontaneous bacterial peritonitis. The fluid
Echogenic Ascites ... in SBP on POCUS ... 72% sensitive; #POCUS ... #Echogenic #Ascites ... #SBP #POCUS #abdominal
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