15 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... ileus), intra-abdominal ... variety of other causes ... venousgas #ultrasound #hepatology ... #liver #pocus #
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
RF: neurogenic bladder ... indwelling urinary catheter ... Abdominal or flank ... in bladder wall ... consider KUB or abdominal
Catheter in the Aorta Mimicking Dissection on Echocardiogram
An easy case for POCUS / FoCUS lovers.
Catheter in the ... Echocardiogram An easy case ... was a catheter, ... as we were getting ... Ivan_Echocardio #Aortic #Catheter
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... on POCUS - Pneumatosis ... Both cause intrahepatic ... #abdominal #ultrasound ... #Liver
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Gas Non-Iatrogenic ... Central venous catheter ... #Intrahepatic #Gas ... #Air #Portal #Causes
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
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
• Check fresh gas ... • Visual inspection ... passing suction catheter ... and hypercarbia as ... antihypertensives • Distended bladder
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
Common bacterial causes ... from contiguous focus ... endocarditis) - Portal ... sources within abdominal ... differential #diagnosis #hepatology
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