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Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... evaluation of the pattern ... of liver blood ... mellitus; USS, ultrasound ... #Enzymes #Differential
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #radiology #differential
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Wall Thickening - Differential ... heart failure, Liver ... Gallbladder #Thickening #Differential ... #Diagnosis #radiology ... #POCUS #ultrasound
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
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Shock - Differential ... Insufficiency, Liver ... • Obstructive: Pulmonary ... Severe auto-PEEP, Abdominal ... #criticalcare #algorithm
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... reflection on the differential ... ileus), intra-abdominal ... #hepatology #liver ... #pocus #clinical
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... branching gas pattern ... #Pneumobilia #POCUS ... #clinical #abdominal ... #ultrasound #Liver
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Venous Gas on POCUS ... branching gas pattern ... #Pneumatosis #POCUS ... #clinical #abdominal ... #ultrasound #Liver
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... #Contrast #POCUS ... #radiology #differential
Free Air on Abdominal POCUS - Enhanced Peritoneal Stripe Sign (EPSS)

50 year old female with LLQ
Free Air on Abdominal ... POCUS - Enhanced ... peritoneum and liver ... #POCUS #EPSS #clinical ... #ultrasound #radiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
This post will focus ... chest radiograph pattern ... consider intra-abdominal ... bleeding often from a liver ... #Radiology #CTChest