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


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





  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