10 results
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
ulcer on RUQ POCUS ... anterior to the liver ... separated from bowel as ... Pleural air would ... #ulcer #RUQ #POCUS
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... reflection on the differential ... ileus), intra-abdominal ... variety of other causes ... #pocus #clinical
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... on POCUS - Pneumatosis ... Both cause intrahepatic ... #abdominal #ultrasound ... #Liver
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
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
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Gas Non-Iatrogenic ... cellulose, Hepatic Artery ... #Air #Portal #Causes ... #differential #
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
hyperhidrosis, hair ... GH stimulates liver ... peripheral (bronchial/abdominal ... Differential Diagnosis ... levels not useful as
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Common bacterial causes ... - Hepatic artery ... endocarditis) - Portal ... sources within abdominal ... children #peds #differential
Anemia of Hospitalization - Pathophysiology

Why does the Hgb/Hct drop in the first two days during hospitalization?

Interestingly,
Hospitalization - Pathophysiology ... deficiencies • Renal, liver ... from accessing port ... #pathophysiology ... #differential #
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... This post will focus ... consider intra-abdominal ... bleeding often from a liver ... Most commonly caused