Meghan Kelly Herbst, MD @eusmkh
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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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clinical pocus ultrasound appendicitis labeled sbo bowel cholecystitis gallbladder ruq anatomy free gallstone gastric hernia pouch renal small smallbowel stomach
Small Bowel Obstruction (Jejunum) Visualized on POCUS Convex transducer viewing dilated jejunum w/ valvulae conniventes (“keyboard sign”). Criteria
Small Bowel Obstruction ... peristalsis • +free fluid ... #Small #Bowel #Obstruction ... clinical #ultrasound #abdominal
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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
#Appendicitis #appendix ... clinical #ultrasound #abdominal
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 Cholecystitis on POCUS (Labeled) Ultrasound showing gallstone, wall thickening, and pericholecystic fluid. Dr. Meghan Herbst @EUSmkh #Cholecystitis #POCUS #clinical
pericholecystic fluid ... ultrasound #RUQ #abdominal
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 Cholecystitis on Gallbladder POCUS The landmark for the gallbladder is the portal vein, usually seen superiorly
Fluid outside gallbladder ... clinical #ultrasound #Abdominal
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 Acute Appendicitis on POCUS A linear transducer is over anterior RLQ. Noncompressible fluid-filled structure >6mm +
Noncompressible fluid-filled ... clinical #ultrasound #abdominal
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 Appendicitis on POCUS Ultrasound in transverse plane showing appendicitis (>6-7mm, blind-ended, non-compressible, no peristalsis) Dr. Meghan Herbst @EUSmkh #Appendicitis
Appendicitis #POCUS #abdominal ... clinical #ultrasound #appendix
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 Appendicitis on POCUS What is your diagnosis? Resolution: appendicitis (criteria >6mm, noncompressible, blind-ended, no peristalsis). When diagnosed by
#Appendicitis #appendix ... clinical #ultrasound #abdominal
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 Appendicitis on POCUS High frequency linear transducer in a sagittal plane (clue: iliac vessels seen in long
Appendicitis #POCUS #abdominal ... clinical #ultrasound #appendix
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 Free Fluid in Morrison's Pouch on Abdominal POCUS 22 yo, no known pmhx, with atraumatic abdominal pain,
Free Fluid in Morrison's ... Pouch on Abdominal ... with atraumatic abdominal ... setting suggests fluid ... EUSmkh #Free #Fluid
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 Nephrolithiasis and Hydronephrosis on POCUS 40 yo F presents with unilateral abdominal pain and n/v. The transducer is
with unilateral abdominal ... hydronephrosis, perinephric fluid ... , & a non-obstructing ... there may be an obstructing
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