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Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used

Dilated Abdominal ... • Normal veins ... : The normal physiology ... below Azygos, anterior ... chest wall & abdominal

Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &

Flow of Dilated Abdominal ... have distended abdominal ... Normal venous flow ... #abdominal #veins ... #Clinical #Video

Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to

Duct (CBD) on Abdominal ... Ultrasound The ... CBD is to look anteriorly ... CommonBileDuct #clinical #ultrasound ... #pocus #normal

Portal Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and

Portal Venous Gas ... on Ultrasound ... #VenousGas #Ultrasound ... #Liver #POCUS # ... Clinical #Abdominal

Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air

Portal Venous Gas ... air on ultrasound ... , reverb in liver ... Clinical #POCUS #Abdominal ... #Ultrasound

Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
• Portal vein thrombosis
• Splenic

disease • Acute liver ... • Sinusoidal obstruction ... syndrome Portal ... Budd-Chiari syndrome • Inferior ... vena cava obstruction

Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)

Portal Hypertension ... site of vascular obstruction ... Cirrhosis, Polycystic liver ... Pre-sinusoidal: Portal ... to cirrhosis, Abdominal

Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due

Causes of Portal ... Site of Vascular Obstruction ... pre-sinusoidal: Portal ... to cirrhosis, Abdominal ... Cirrhosis, Polycystic liver

Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.

with severe RUQ abdominal ... pneumoperitoneum anterior ... to the liver where ... POCUS #clinical #ultrasound ... #Abdominal

Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the

Lelli's Test (Lever ... Normal on the right ... #Lellis #Test #Lever ... #Injury #acl #anterior ... ligament #clinical #video

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