13 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
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Treat underlying liver ... specific treatment • AIN ... • Neurogenic bladder ... +/- temp Foley catheter ... temporary Foley Catheter
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
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
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
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
with 26 French catheter ... increased risk of infection ... Monophasic combined oral ... breast cancer, liver ... follow-up for long-term
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
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 ... #Portal #Causes ... #differential #diagnosis
Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS

Young patient with diffuse abdominal pain...don't let
Duodenal Ulcer- Free Air ... on Abdominal POCUS ... ultimately was diagnosed ... position between the liver ... get fooled by lung
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
- Differential Diagnosis ... Typhoid fever (Step ladder ... Brucellosis • Liver ... or lung abscess ... #Differential #Diagnosis