21 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
on POCUS Sick ... air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... #Clinical #POCUS
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 Portal ... #Venous #Gas #Air ... #POCUS #Liver #
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
reflection on the differential ... peripheral tracking of air ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Portal Hypertension ... Cirrhosis, Polycystic liver ... Pre-sinusoidal: Portal ... Classification #gastroenterology ... #diagnosis #differential
Liver Abscess - Differential Diagnosis
Pyogenic:
 • Hepatobiliary
 • Colonic
 • Bacteremia
Entamoeba histolytica:
 • Fecal/oral
 • Colitis
Liver Abscess - ... Differential Diagnosis ... histolytica: • Fecal/oral ... US, serology • PAIR ... Darcy_ID_doc #Liver
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Arterial Phase, Portal ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #radiology #differential
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... - Differential ... • Drugs • AIH ... disease US — Normal ... #LiverEnzymes #Differential
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Viral, Ischemia, AIH ... - Viral, AIH ... AST): • US - Normal
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal POCUS ... Day1 Compare to portal ... Portal is Peripheral ... #Pneumobilia #air ... #liver #pocus #
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
on POCUS - Pneumatosis ... centrally located air ... result in small air ... #Pneumatosis #POCUS ... abdominal #ultrasound #Liver