10 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
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 ... from the urinary catheter ... #IAP #diagnosis
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
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
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
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
• Visual inspection ... passing suction catheter ... alfentanil can be diagnostic ... antihypertensives • Distended bladder ... Intraoperative #Checklist #Diagnosis
Esophageal Atresia and Tracheoesophageal Fistula- An infant had an apneic episode at birth and received positive-pressure
received positive-pressure ... infant’s copious oral ... radiograph showed the catheter ... thoracic vertebra and air ... fistula, type C, was diagnosed
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
≥ 4mmol.l-1 if infection ... mean arterial pressure ... Insert urinary catheter ... output to further aid ... Intraoperative #Checklist #Diagnosis
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... from contiguous focus ... endocarditis) - Portal ... sources within abdominal ... #differential #diagnosis
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 ... defaulting to a normal ... consider intra-abdominal ... bleeding often from a liver