11 results
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
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 ... ultrasound #hepatology #liver ... #pocus #clinical
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... RUQ: • Biliary ... syndrome • Chronic portal ... • Splenomegaly/Abscess ... #Differential #
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
hyperhidrosis, hair ... GH stimulates liver ... peripheral (bronchial/abdominal ... Differential Diagnosis ... or refractory cases
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
on POCUS - Pneumatosis ... Both cause intrahepatic ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... abscess, Complicated ... Intrahepatic #Gas #Air ... #Portal #Causes ... #differential #
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... Common bacterial causes ... endocarditis) - Portal ... sources within abdominal ... children #peds #differential
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 ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
Oral / Mouth Lesions and Ulcers (Adult & Elderly) - Differential Diagnosis Algorithm

Teeth
 • GERD (Dissolves
Adult & Elderly) - Differential ... Non-Ulcerating - Darker ... Change • Chronic Liver ... Sjögren's Syndrome • Acromegaly ... Diagnosis #Algorithm #Causes
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... portal venous gas ... tends to have air ... considered within differential ... clinical #ultrasound #RUQ