9 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... 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
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... Portal is Peripheral ... - VCU Ultrasound ... #Pneumobilia #air ... #liver #pocus #
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... centrally located air ... result in small air ... POCUS #clinical #abdominal ... #ultrasound #Liver
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
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
centrally located air ... result in small air ... Mnemonic Portal ... POCUS #clinical #abdominal ... #ultrasound #Liver
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... S.aureus • Strep spp ... endocarditis) - Portal ... sources within abdominal ... differential #diagnosis #hepatology
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
with abd pain/low BP ... portal venous gas ... tends to have air ... while portal venous ... POCUS #clinical #ultrasound
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