Focused assessment with sonography in trauma
pericardial site (ventral, 5-6 intercostal)
chest tube site (dorsolateral, 7-9 intercostal)tFASTFocused assessment with sonography in trauma
assesses abdominal and pericardial fluidFASTperitoneal fluid
can see:
organs not visible
loss of serosal detail
loss of SI wall
only lumenal gaswhat illness is shown here?peritoneal fluid
possibly from rupture of:
liver
spleen
bladder
GI tract
*if gas a fluid, then GI tract rupture*this anechoic line between organs suggests?peritoneal gaswhat is this?peritonitiswhat does this bunching/clumping of intestines suggest?GI gas
big farts incomingwhat is shown here?Gastric dilation-volvulus GDV (twisted stomach)
can see:
rotated stomach
dilated small intestinewhat illness is shown here?hematomawhat is wrong with this spleen?urinary rupture
can see:
anechoic area around the organwhat illness is shown here?urinary rupturewhat illness is shown here?sternum dislocation
-do not treat, leave alone-what problem can you see here?dislocation of spinewhat problem can you see here?labellabelmarked subcut air
tracheal wall highlighted
pneumomediastinum
heart shadow raised from sternum and gas beneath
caudal lobes collapsed from thoracic wall
black area (gas) around lobes
pneumothorax
lobes increase in soft tissue opacity
pulmonary contusion
avulsion of rib 7can you list all of the issues with this cat?poor abdominal details indicates fluid
suspicious gas in peritoneal cavity
ruptured viscus
diagnosis: peritonitiscan you list all of the issues here and make a diagnosis?cardiac shadow wider and taller than normal, football shaped
margins still sharp
pericardial effusionwhat can you see and what is your diagnosis