Title: FASH exam (part 2)<br/>Author: Jon Mark Hirshon<br/><a href='http://umem.org/profiles/faculty/96/'>[Click to email author]</a><hr/><p>   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.</p>  <p>    </p>  <p style="margin-left:.25in;">   Peri-aortic lymph nodes- Multiple enlarged nodes, 97.1% specific for TB</p>  <p style="margin-left:.25in;">   <img alt="" height="249" src="https://umem.org/files/uploads/content/peri-aortic%20lymph%20nodes.jpg" width="361" /></p>  <p style="margin-left:.25in;">    </p>  <p style="margin-left:.25in;">   Splenic lesions – multiple ‘punched out’ lesions</p>  <p style="margin-left:.25in;">   <img alt="" height="202" src="https://umem.org/files/uploads/content/splenic%20lesions.jpg" width="368" /></p>  <p style="margin-left:.25in;">    </p>  <p style="margin-left:.25in;">   The effusions often have fibrous stranding</p>  <p style="margin-left:.25in;">   <img alt="" height="295" src="https://umem.org/files/uploads/content/effusions.jpg" width="366" /></p>  <p style="margin-left:.25in;">    </p>  <p style="margin-left:.25in;">   Submitted by Dr. Laura Diegelmann</p>  
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                <fieldset><legend>References</legend>

                <ol>   <li>    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</li>  </ol>  </fieldset>