18 results
Bowel perforation on POCUS.

At beginning of clip, free air from a perforated viscous displaces liver from
perforation on POCUS ... viscous displaces liver ... pressure over RUQ ... #perforation #POCUS ... #Abdominal #clinical
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
POCUS Male with ... severe RUQ abdominal ... anterior to the liver ... Pleural air would ... #POCUS #clinical
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... Obtain RUQ US to ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... gastroenterology #hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... ileus), intra-abdominal ... variety of other causes ... venousgas #ultrasound #hepatology ... #liver #pocus #
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm

ALP:
 - Enzymes that catalyze hydrolysis of organic phosphate
ALP) Elevation - Differential ... Highest • Bone • Liver ... Intestine - Other causes ... symptoms - Pain -> RUQ ... Diagnosis #Algorithm #hepatology
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... to cirrhosis, Abdominal ... Cirrhosis, Polycystic liver ... portalhypertension #phtn #differential ... #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... • Drugs • AIH ... Others #LFTs #Hepatology ... Diagnosis #Algorithm #Causes
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... POCUS - Enhanced ... anteriorly over the RUQ ... peritoneum and liver ... #Abdominal #POCUS
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... = nonspecific (nausea ... , vomiting, abdominal ... infiltration) Differential ... #Pregnancy #hepatology
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Rupture on Positive RUQ ... presence of free air ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver