, 5 tweets, 2 min read Read on Twitter
#POCUS image (transverse probe orientation in suprapubic region) in a 20 year old lady (language barrier++) with history of lower abdominal pain and recurrent vomiting since 20 days. Pregnancy test negative. Exam - fullness in lower abdomen, tenderness, no peritonism.
Saggital suprapubic #POCUS image
All sorts of differentials pass through - including obstetric fistula.... but patient has just passed urine - so repeat scan after full bladder.. with CT images 5 h later.
Reinforces importance of full bladder while peforming lower abdominal #POCUS.
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