9 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
ileus), intra-abdominal ... variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Oddi, Trauma • Portal ... Central venous catheter ... Intrahepatic #Gas #Air ... #Portal #Causes
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
on POCUS - Pneumatosis ... Both cause intrahepatic ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
pregnancy related cause ... with 26 French catheter ... increased risk of infection ... Monophasic combined oral ... breast cancer, liver
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 ... allow flushing of air ... from the urinary catheter
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
POCUS) and function ... Foley urinary catheter ... Clamp catheter distal ... allow flushing of air ... from the urinary catheter
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... Both cause intrahepatic ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... Common bacterial causes ... from contiguous focus ... 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 ... This post will focus ... consider intra-abdominal ... bleeding often from a liver ... Most commonly caused