11 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Obscure diagnosis ... air on ultrasound ... , reverb in liver ... Clinical #POCUS #Abdominal ... #Ultrasound
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... peripheral tracking of air ... ileus), intra-abdominal ... #hepatology #liver ... pocus #clinical #air
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
performed on room air ... disease - Portal ... older) on room air ... of underlying portal ... management #treatment #hepatology
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... assessment to reduce total ... radiation dose Ultrasound ... causes of flank or abdominal ... diverticulae). degree and level
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
with abd pain/low BP ... Diagnosis? ... portal venous gas ... tends to have air ... POCUS #clinical #ultrasound
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
- Hepatic artery ... endocarditis) - Portal ... sources within abdominal ... #differential #diagnosis ... #hepatology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia 

== Disorders of Conjugation ==
Gilbert Syndrome:
 • 5-10% of the population
UGT1A1 activity level ... of about 30% of normal ... symptoms, such as abdominal ... Congenital #bilirubin #hepatology ... #diagnosis #gastroenterology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
asymmetric arm BP ... Superficial temporal artery ... disturbance • Temp. artery ... multiplex • GI tract: Abdominal ... gut involvement, abdominal
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Pathophysiology: • Portal ... Diagnosis (Clinical ... ultrasound ... Diagnostic Support ... Hepatorenal #Syndrome #Hepatology
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
the Foley side port ... transducer at the level ... distal to the port ... allow flushing of air ... #Instructions #diagnosis