IOTW: Free fluid in LUQ

Posted on: November 12, 2018, by :

This clip was for a patient with Nephrotic syndrome with abdominal distention.
This clip is of the left upper quadrant showing the spleen and the importance of looking all the way around the spleen when looking for free fluid.  Usually free fluid is noted in the spleno-renal recess but this clip shows fluid between the spleen and the diaphragm.

“The information in these cases has been changed to protect patient identity and confidentiality. The images are only provided for educational purposes and members agree not to download them, share them, or otherwise use them for any other purpose.”

Amit Patel

Pediatric Emergency Medicine Attending at Children's National Health System
Amit was born and raised in the United Kingdom and moved to the US after finishing medical school at St. George’s.He completed residency at Maimonides and loved it so much he stayed on for fellowship.In his 6 years in Brooklyn he met his wife, Neha, they had a big Indian wedding (500+ people, but no elephants) and had a daughter (Mila) together.Now his daughter is 3 and the latest (and final) addition to the family (Abhi) is 1.Even though he came to call Brooklyn home he decided to leave ‘the city that never sleeps’ to arrive in ‘Capital City’ to join the faculty at CNMC while also pursuing a one-year Emergency Ultrasound Fellowship.He lives in Columbia, Maryland and is thoroughly enjoying having a parking space.In his free time he loves to play and watch soccer, catch-up on his British TV shows, spend time with his family and has been known to quite enjoy a good brunch.

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