75 results
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... Cirrhosis with fever ... Diverticular abscess ... POCUS #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... abscess was recommended ... #Abscess #Hepatic ... POCUS #Clinical #Ultrasound ... #Abdominal
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... in the right Liver ... • Right hepatic ... an occult intra‐abdominal ... & abdominal pain
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Hepatic congestionl ... Liver disease ... - Acute fatty liver ... Mediterranean fever ... Causes #diagnosis #differential
Differential diagnosis for pyogenic liver abscess:
Infectious etiologies predominate. Most are pyogenic (bacterial). Amebic (Entamoeba histolytica) and
Differential diagnosis ... abscess: Infectious ... AbscessHepatic ... #abscess #hepatic ... #hepatology #Differential
Deciphering the SAAG - Serum to Ascites Albumin Gradient
Ascites is either made in the liver sinusoid
either made in the liver ... sinusoid (hepatic ... or not by the liver ... The hepatic sinusoid ... Interpretation #Differential
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Flapping tremor (hepatic ... Aspiration of ascitic ... fluid, Dilated abdominal ... Splenornegaly, Ascites ... Palpable gallbladder, Hepatic
Hepatic hydatid cyst: water lily sign

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Hepatic #hydatid #cyst #WaterLily #sign #liver #ultrasound
Hepatic hydatid ... Ivan_Echocardio #Hepatic ... WaterLily #sign #liver ... #ultrasound #abdominal
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... Disease, Fulminant Hepatic ... Chylous <1% #Ascites ... #Differential #
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... portal HTN: • Ascites ... sarcoidosis) • Liver ... #Hypertension #Differential