19 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... Obscure diagnosis ... , reverb in liver ... #Venous #Gas #Air ... #Abdominal #Ultrasound
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... ileus), intra-abdominal ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
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
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... on POCUS - Pneumatosis ... result in small air ... #abdominal #ultrasound ... #Liver
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... POCUS S/P ERCP ... venous gas, and ... #Pneumobilia #air ... #liver #pocus #
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... result in small air ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
of Intrahepatic Gas ... Central venous catheter ... #Intrahepatic #Gas ... #Air #Portal #Causes ... #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
Esophageal Atresia and Tracheoesophageal Fistula- An infant had an apneic episode at birth and received positive-pressure
infant’s copious oral ... nasogastric tube was ... radiograph showed the catheter ... thoracic vertebra and air ... diagnosed.