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

Takeaways

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

In-Depth

 

 

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