30 results
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... disease US — Normal ... Bile Ducts • ... - Dilated Bile Ducts ... • Common Bile Duct
Parotitis and Sialolithiasis - Stenson's Duct Stone on POCUS
46 yo M with acute facial swelling. POCUS
Sialolithiasis - Stenson's Duct ... Stone on POCUS ... POCUS showed Parotitis ... gland with loss of normal ... the Stensen's duct
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct ... stretched out portal ... clinical #ultrasound #pocus ... #normal #RUQ
Portal Venous Gas on Point of Care Ultrasound (POCUS)

Dr. Philippe Rola @ThinkingCC

#Portal #VenousGas #Ultrasound #POCUS #Clinical
Portal Venous Gas ... Care Ultrasound (POCUS ... ThinkingCC #Portal ... VenousGas #Ultrasound #POCUS ... #Clinical #Liver
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
intralobular bile ducts ... cholestasis → Cirrhosis/Liver ... • ALT & AST normal ... • Bilirubin - Normal ... or higher • Liver
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Portal Venous Gas ... on POCUS Adhikari's ... Image of the Wk: Portal ... #VenousGas #POCUS ... #Liver #Ultrasound
Portal Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and
Portal Venous Gas ... intravascular and portal ... hellersound #Portal ... VenousGas #Ultrasound #Liver ... #POCUS #Clinical
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... Surface of bile duct ... - If both are normal ... of ALP • Near normal ... Bili > 90% of Total
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... on POCUS Sick ... Notice the portal ... ultrasound, reverb in liver ... Air #Clinical #POCUS
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Arterial Phase, Portal ... precontrast, T1 portal ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS