In the video below, Dr. Gerardo Poli will show how to use ultrasound to locate a migrating foreign body.
HELPFUL TIP!! Did you know that comparing the glucose and the lactic acid levels in the free abdominal fluid, with the peripheral blood, can be helpful in determining if bacteria is present and that exploratory surgery is required.
Bacteria consumes glucose and produces lactic acid. If abdominal fluid GLUCOSE is 2.5mmol/L (or 45mg/dL) LESS than the peripheral blood and the LACTIC ACID level is 2mmol/L GREATER than the peripheral blood it is highly suggestive of bacteria being present.
We do this for every abdominal fluid sample we collect as these changes can occur with low levels of bacterial contamination that can be hard to find under the microscope.
Check out this video! This small migrating foreign body perforated the small intestine. Lucky we spotted it early!
If you liked this video, watch “4 quick tips to improve ultrasound guided aspirates – Video by Dr. Gerardo Poli” on our blog.