UMEM Educational Pearls

Category: International EM

Title: FASH exam (part 2)

Keywords: Infectious Disease, ultrasound, HIV, TB (PubMed Search)

Posted: 9/29/2016 by Jon Mark Hirshon, MD, MPH, PhD (Emailed: 11/3/2016) (Updated: 11/3/2016)
Click here to contact Jon Mark Hirshon, MD, MPH, PhD

Question

As noted in a previous post, the FASH exam is the Focused Assessment with Sonography for HIV/TB. Below are typical ultrasound images of a positive FASH exam.

 

Peri-aortic lymph nodes- Multiple enlarged nodes, 97.1% specific for TB

 

Splenic lesions – multiple ‘punched out’ lesions

 

The effusions often have fibrous stranding

 

Submitted by Dr. Laura Diegelmann

Answer

 

 

References

  1. Sinkala E, Gray S, Zulu I, et al. Clinical and ultrasonographic features of abdominal tuberculosis in HIV positive adults in Zambia. BMC Inf Dis. 2009, 9:44. doi:10.1186/1471-2334/9/44