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UOTW_32_-_Ultrasound_of_the_Week_4.jpg (792 × 470 pixels, file size: 31 KB, MIME type: image/jpeg)

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English: :The patient is a 39 y/o female with a h/o lupus who is post-op day #7 status-post renal transplant.  The patient complains of abdominal pain with gross hematuria for several days. Upon arrival, the patient’s initial vitals were a BP of 137/59 and a pulse of 91.  Examination showed cold extremities, moderate diffuse abdominal tenderness/distension and a pale tongue.
File:UOTW 32 - Ultrasound of the Week 4.jpg
I-stat hematocrit was noted to be 5, and so the patient was given 4 units of pRBCs and surgery was consulted.  Suddenly the patient becomes unresponsive in front of you, and you are unable to palpate any pulses.  Standard ACLS was followed and the patient obtained ROSC. Repeat abdominal scan showed the following.
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https://d25ixnv6uinqzi.cloudfront.net/post_files/uotw32.1.jpg

Blog post: https://www.ultrasoundoftheweek.com/uotw-32/
Author Ben Smith
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8 January 2015

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Date/TimeThumbnailDimensionsUserComment
current11:29, 9 May 2017Thumbnail for version as of 11:29, 9 May 2017792 × 470 (31 KB)== {{int:filedesc}} == {{information | description = {{en|1= :The patient is a 39 y/o female with a h/o lupus who is post-op day #7 status-post renal transplant.  The patient complains of abdominal pain with gross hematuria for several days. Upon...

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