9 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... reflection on the differential ... ileus), intra-abdominal ... ultrasound #hepatology #liver ... #pocus #clinical
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
to cirrhosis, Abdominal ... Cirrhosis, Polycystic liver ... disease, Nodular ... portalhypertension #phtn #differential ... #diagnosis #causes
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Cirrhosis, Polycystic liver ... disease, Nodular ... to cirrhosis, Abdominal ... gastroenterology #diagnosis ... #differential
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... hemangioma, Focal nodular ... Contrast #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... Blood Cx grew GPC ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical #hepatic
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... hemangioma, Focal nodular ... Ultrasound #Contrast #POCUS ... #radiology #differential ... #diagnosis #comparison
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... Diagnosis? ... tends to have air ... centrally within liver ... considered within differential
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
from contiguous focus ... through: - Hepatic ... sources within abdominal ... children #peds #differential ... #diagnosis #hepatology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... a chest x-ray (CXR ... not seen on a CXR ... consider intra-abdominal ... bleeding often from a liver