Abdominal Ultrasound

OVERVIEW

  • abdominal ultrasound findings for important critical care diagnoses

DIAGNOSES

Cholecystitis

  • thickened gall bladder wall (>3mm)
  • distended GB (> 4cm diameter, >10cm in length)
  • pericholecystic fluid
  • sonographic Murphy sign
  • air in GB (emphysematous cholecystitis)

Retained products of conception

  • hyperechoic fluid
  • low levels of internal echos (complex fluid)
  • cavity irregular between endometrium and myometrium

Hydronephrosis

  • calyceal dilation

FAST scan

  • views:

(1) perihepatic
(2) perisplenic
(3) pelvic
(4) pericardial

  • must be repeated if there is ongoing concern that patient may be bleeding

CCC 700 6

Critical Care

Compendium

Chris is an Intensivist and ECMO specialist at The Alfred ICU, where he is Deputy Director (Education). He is a Clinical Adjunct Associate Professor at Monash University, the Lead for the  Clinician Educator Incubator programme, and a CICM First Part Examiner.

He is an internationally recognised Clinician Educator with a passion for helping clinicians learn and for improving the clinical performance of individuals and collectives. He was one of the founders of the FOAM movement (Free Open-Access Medical education) has been recognised for his contributions to education with awards from ANZICS, ANZAHPE, and ACEM.

His one great achievement is being the father of three amazing children.

On Bluesky, he is @precordialthump.bsky.social and on the site that Elon has screwed up, he is @precordialthump.

| INTENSIVE | RAGE | Resuscitology | SMACC

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