18 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... ultrasound: A concerning ... reflection on the differential ... ileus), intra-abdominal ... #hepatology #liver
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... of this 2x2cm liver ... twitter.com/EUSmkh #Liver ... #Abscess #Hepatic ... #Abdominal
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Portal Hypertension Classification ... obstruction 1) Post-hepatic ... Cirrhosis, Polycystic liver ... to cirrhosis, Abdominal ... gastroenterology #diagnosis #differential
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... 50% of solitary liver ... occur in the right Liver ... • Fever in 90% ... cm Continuous fever
Possible Algorithm for Workup of Fever of Unknown Origin (FUO)
Tier 1 Workup:
 • CBC, comprehensive metabolic
of Fever of Unknown ... Chest X-ray • Abdominal ... Biopsy - Temporal artery ... marrow, Lymph node, Liver ... FUO #Algorithm #Fever
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... - VCU Ultrasound ... #Pneumobilia #air ... #liver #pocus # ... #hepatic
Hepatic Artery Calcifications mimicking portal venous gas on Liver POCUS

A 70yo male presents with abdominal pain.
Hepatic Artery Calcifications ... venous gas on Liver ... presents with abdominal ... Calficiations #Liver ... POCUS #clinical #ultrasound
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Hepatic Artery Calcifications ... POCUS Liver TRV ... tends to have air ... centrally within liver ... considered within differential
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver ... Artery Embolization
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic ... Pain / Exercise, Fever ... Beta-Agonists, ↑ work ... Clearance: Systemic liver