UMEM Educational Pearls

Title: FASH exam (part 2)

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

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

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

Additional Information

References

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