Bedside Ultrasound Picture Quiz #6 – #FOAMed, #FOAMcc

So your intubated patient has developed abdominal distension and residuals are 250. You scan the LUQ:

 

Screen Shot 2013-10-28 at 11.32.45 PM

 

 

what do you see?  what should you do?

scroll below…

 

 

 

 

 

 

 

 

 

 

 

 

dilated stomach2

 

You have gastric distension with at least a liter of fluid in there.   Put in an OG, hold feeds, assess the rest of the abdomen to r/o bowel obstruction, consider motility agents and look for a reason behind the ileus or obstruction.

 

 

Philippe