9 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
Imaging Modalities for Renal Calculus

AXR. KUB
 - Good far calcium-containing stones useful when limited radiation dose
Renal Calculus AXR ... radiation dose Ultrasound ... causes of flank or abdominal ... diverticulae). degree and level ... Calculi #Renal #Kidney
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
S.aureus • Strep spp ... endocarditis) - Portal ... sources within abdominal ... #differential #diagnosis ... #hepatology
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... asymmetric arm BP ... musculoskeletal systems • Kidneys ... multiplex • GI tract: Abdominal ... gut involvement, abdominal
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
pressure and cranial ultrasound ... When the diagnosis ... palpable, as may the kidney ... Any intra-abdominal ... Peds #Pediatrics #Diagnosis
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
Solitary Cell Plasmacytoma

What?
• Plasma cell neoplasms can present as a single lesion (solitary plasmacytoma)
• In 3%
mainly in the oral ... Diagnosis? ... bone marrow at a level ... hypercalcemia, or kidney ... #Workup #Hematology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Vital signs: BP ... SpO2 88% on room air ... defaulting to a normal ... consider intra-abdominal ... bleeding often from a liver