When you hear abnormal noises in the abdomen Understanding bowel sounds can give you major clues about what’s going on inside. From total silence to a full-on rave in the abdomen, here’s what different sounds might mean: 🔇Hypoactive – Think peritonitis, opioids, spinal injuries. 🔊Hyperactive – Often gastroenteritis or early obstruction. 🚧 Obstruction – Listen for high-pitched ‘tinkling’, distension, and no gas below. Comment “trauma” for 30 days of free trauma education a free trauma ebook 📚

✨ Global Longitudinal Strain (GLS) in Echocardiography ✨ 🔹 What is GLS? Global Longitudinal Strain (GLS) is a measure of myocardial deformation that reflects the percentage of shortening of LV fibers in the longitudinal direction during systole. More negative values indicate better LV contraction. GLS is more sensitive than EF for detecting subclinical LV dysfunction. 🔹 Normal GLS Ranges (ASE/EACVI Guidelines) Normal: –18% to –22% ✅ Borderline: –16% to –18% ⚠️ Abnormal: > –16% (less negative)