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 POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... , reverb in liver ... -> pneumotosis ... #Venous #Gas #Air ... #Abdominal #Ultrasound
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 ... #Venous #Gas #Pneumatosis ... #Liver
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Both cause intrahepatic ... while pneumatosis ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
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
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Gas Non-Iatrogenic ... Appendicitis, Pneumatosis ... cellulose, Hepatic Artery ... #Air #Portal #Causes ... #differential #
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
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
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
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