15 results
Portal Venous Gas:
Ill-appearing elderly postop patient. Taken back to OR for ischemic bowel
Gas in the liver:
Portal Venous Gas ... bowel Gas in the liver ... : Pneumobilia or ... #Venous #Gas #Air ... #POCUS #Liver #
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... POCUS S/P ERCP ... Day1 Compare to portal ... Portal is Peripheral ... #air #liver #pocus
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... result in small air ... Mnemonic Portal ... #abdominal #ultrasound ... #Liver
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
on POCUS Sick ... air on ultrasound ... , reverb in liver ... #Clinical #POCUS ... #Abdominal #Ultrasound
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
on POCUS - Pneumatosis ... Pneumobilia tends ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
peripheral tracking of air ... ileus), intra-abdominal ... venousgas #ultrasound #hepatology ... #liver #pocus # ... clinical #air
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... • Drugs • AIH ... disease US — Normal ... • Alcoholic hepatitis ... Others #LFTs #Hepatology
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
Autoimmune Hepatitis ... disease to acute liver ... upper limit of normal ... #Autoimmune #Hepatitis ... #Management #Hepatology
Clinical Diagnosis of Autoimmune Hepatitis
 - Onset of jaundice within prior 8 weeks
 - Ongoing consumption
of Autoimmune Hepatitis ... <400 - Serum total ... ) or metabolic liver ... #Diagnosis #Hepatology ... #AIH
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... AST): • US - Normal ... Transaminitis #Algorithm ... #diagnosis #hepatology