9 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 ... #Gas #Air #POCUS ... #Liver #Ultrasound
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 venous ... #abdominal #ultrasound ... #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 ... Compare to portal venous ... ultrasound_vcu #Pneumobilia ... #air #liver #pocus
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 POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... on POCUS Sick ... Notice the portal air ... ultrasound, reverb in liver ... #POCUS #Abdominal
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... 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 ... Differential Diagnosis Algorithm ... • Drugs • AIH ... • Alcoholic hepatitis ... Others #LFTs #Hepatology
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... Pneumobilia ? ... portal venous gas ... Pneumobilia tends ... to have air located
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
Abdominal Compartment ... also compromises venous ... POCUS) and function ... transducer at the level ... allow flushing of air