31 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... shunt (Type 2) Clinical ... • Underlying liver ... disease - Portal ... hypertension • Liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... should encourage critical ... reflection on the differential ... ultrasound #hepatology #liver ... #pocus #clinical
Hepatic Artery Calcifications mimicking portal venous gas on Liver POCUS

A 70yo male presents with abdominal pain.
mimicking portal ... venous gas on Liver ... POCUS A 70yo ... Calficiations #Liver ... ##POCUS #clinical
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Still's Disease Clinical ... triad: Fever, Arthralgia ... fraction < 20% Differential ... hepatitis • Pulmonary ... diagnosis #management #treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
a patient with portal ... artery pressure ... artery diameter ... pressure < 15mmHg TREATMENT ... hemodynamics Liver
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... portal venous gas ... centrally within liver ... considered within differential ... #clinical #ultrasound
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... output - Acute pulmonary ... mellitus/DKA - Liver ... gluconeogenesis Liver
Broncholithiasis - Differential Diagnosis Framework

 • Also known as: Lung stones, pulmoliths, pneumoliths, bronchial calculi
 •
Broncholithiasis - Differential ... Broncholithiasis - Clinical ... • Wheezing • Fever ... erosion into the aorta ... or pulmonary artery
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
pits <100k), ↑ liver ... doubling of Cr), pulmonary ... hemolysis, elevated liver ... diagnosis so have high clinical ... obstetrics #cardiology #differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Clinical ... decubitus - air fluid level ... - Switch to oral ... Lung #Abscess #pulmonary ... #differential #