9 results
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
obstruction 1) Post-hepatic ... Budd-Chiari syndrome 2) Intrahepatic ... Cirrhosis, Polycystic liver ... to cirrhosis, Abdominal ... gastroenterology #diagnosis #differential
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
to cirrhosis, Abdominal ... including surgery 2) Intrahepatic ... Cirrhosis, Polycystic liver ... disease 5) Post-hepatic ... portalhypertension #phtn #differential
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... • Parenchymal: Hepatic ... Central venous catheter ... Embolization #Intrahepatic ... #Causes #differential
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Pregnancy Intrahepatic ... of Pregnancy (ICP ... imaging: Normal ... hepatitis #comparison #differential ... #diagnosis #icp
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
POCUS) and function ... Foley urinary catheter ... Clamp catheter distal ... to the port with ... from the urinary catheter
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... reflection on the differential ... ileus), intra-abdominal ... ultrasound #hepatology #liver ... #pocus #clinical
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... Linear intrahepatic ... portal venous gas ... while portal venous ... considered within differential
Measuring Bladder Pressure as a Surrogate for Intraabdominal Pressure - Procedure Instructions

1. Place the patient in
POCUS) and function ... Foley urinary catheter ... Clamp catheter distal ... to the port with ... from the urinary catheter
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
from contiguous focus ... through: - Hepatic ... endocarditis) - Portal ... sources within abdominal ... children #peds #differential