15 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... reflection on the differential ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Liver Abscess on POCUS
24yo healthy F to ED w/rigors &DCed. 2/2 blood cx + for fusobacterium,
Liver Abscess on ... of this 2x2cm liver ... recommended, but IR ... twitter.com/EUSmkh #Liver ... #Abscess #Hepatic
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Stabilization Concern for Liver ... GI Bleed: • Peptic ... GAVE (idiopathic, liver ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
obstruction 1) Post-hepatic ... Cirrhosis, Polycystic liver ... Schistosomiasis, Congenital hepatic ... Classification #gastroenterology ... #diagnosis #differential
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... #Lesions #Hepatic ... Contrast #CT #MRI #POCUS ... #radiology #differential
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver ... Intrahepatic #Gas #Air
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
on POCUS Elderly ... POCUS Liver TRV ... tends to have air ... centrally within liver ... considered within differential
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal POCUS ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical #hepatic
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic ... Clearance: Systemic liver ... Lactic #Acidosis #Differential ... #Diagnosis #criticalcare
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... , Metastasis #Liver ... #Lesions #Hepatic ... Ultrasound #Contrast #POCUS ... #radiology #differential