16 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... on POCUS Sick ... air on ultrasound ... , reverb in liver ... #Venous #Gas #Air
Portal Venous Gas:
Ill-appearing elderly postop patient. Taken back to OR for ischemic bowel
Gas in the liver:
Portal Venous Gas ... in the liver: Pneumobilia ... or Portal Venous ... #Venous #Gas #Air ... #POCUS #Liver #
Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
Portal Venous Gas ... on POCUS Adhikari's ... vein gas! ... ominous prognostic sign ... #Liver #Ultrasound
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... venous gas. ... Both cause intrahepatic ... venous gas-- P for ... abdominal #ultrasound #Liver
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN Signs of portal ... estrogen such as ... sarcoidosis) • Liver ... metastasis • Fatty liver ... Schistosomiasis • Veno-occlusive
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... Both cause intrahepatic ... Mnemonic Portal ... venous gas-- P for ... abdominal #ultrasound #Liver
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... - Dynamic air ... bronchograms (atelectasis has ... submassive PE) POCUS ... #Lung #POCUS #ultrasound
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Day1 Compare to portal ... venous gas, and ... Portal is Peripheral ... #Pneumobilia #air ... #liver #pocus #
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Hepatic infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver ... #Air #Portal #Causes