8 results
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
ulcer on RUQ POCUS ... abdominal pain. ... anterior to the liver ... Pleural air would ... #ulcer #RUQ #POCUS
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
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Hepatic Artery Calcifications ... POCUS Liver TRV ... tends to have air ... considered within differential ... #ultrasound #RUQ
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... Long-standing vs ... RUQ: • Biliary ... syndrome • Chronic portal ... #Differential #
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Artery Embolization ... Intrahepatic #Gas #Air ... #Portal #Causes ... #differential #
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... Algorithm Vascular Causes ... Injury: • Hepatic ... artery: Shock liver ... CA, small cell lung
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Common bacterial causes ... through: - Hepatic ... artery (e.g., endocarditis ... ) - Portal ... sources within abdominal
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... consider intra-abdominal ... bleeding often from a liver ... Most commonly caused ... Radiology #CTChest #Lung