8 results
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
tract, and often causes ... - GI tract: abdominal ... Thrombosis and arterial aneurysms ... aortitis, aortic aneurysm ... Supply gut -> abdominal
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
with severe RUQ abdominal ... anterior to the liver ... Pleural air would ... #clinical #ultrasound ... #Abdominal
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
ileus), intra-abdominal ... variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Sensory and/or motor neuropathy ... multiplex • GI tract: Abdominal ... tract, and often causes ... gut involvement, abdominal ... Thrombosis and arterial aneurysms
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... Both cause intrahepatic ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Venous Gas on POCUS ... Both cause intrahepatic ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Bibasilar Atelectasis secondary to massive ascites

Finally, large volumes of intra-abdominal fluid can lead to elevated hemi-diaphragms-->bibasilar
volumes of intra-abdominal ... under-recognized cause ... optiflow 60% to room air ... #lung #clinical ... #pocus #ultrasound
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... This patient’s clinical ... exam findings and clinical ... consider intra-abdominal ... bleeding often from a liver