15 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
on POCUS Sick ... Obscure diagnosis ... air on ultrasound ... , reverb in liver ... #Abdominal #Ultrasound
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... ileus), intra-abdominal ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Acute Kidney Injury (AKI) - Differential Diagnosis Framework
Pre-Renal:
 • Hypovolemia, Cardiorenal, Distributive Shock, HRS, Hypercalcemia, Renal
Diagnosis Framework ... Artery Stenosis, Abdominal ... Pigment, Protein) • AIN ... : Medication, Infection ... • Neurogenic Bladder
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 ... producing gas in bladder ... consider KUB or abdominal
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Diagnosis Algorithm ... AST): • US - Normal ... Alcoholic Hep, Drugs, Infection
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Oddi, Trauma • Portal ... Central venous catheter ... Intrahepatic #Gas #Air ... #differential # ... diagnosis
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
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... • 1ml blood/liter ... renal vein between aorta ... Hematuria: • Infection ... #Hematuria #Differential
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Lymphadenitis • Catheter ... Skin/Soft Tissue/Catheter ... Skin/Soft Tissue/Catheter ... (elevations of liver ... enzymes, diarrhea, abdominal