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Portal Venous Gas on Point of Care Ultrasound (POCUS)

Dr. Philippe Rola @ThinkingCC

#Portal #VenousGas #Ultrasound #POCUS #Clinical

Portal Venous Gas ... ThinkingCC #Portal ... Ultrasound #POCUS #Clinical ... #Liver

Portal Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and

Portal Venous Gas ... intravascular and portal ... hellersound #Portal ... VenousGas #Ultrasound #Liver ... #POCUS #Clinical

Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal

Portal Hypertension ... >10 mmHg - clinically ... significant portal ... sarcoidosis) • Liver ... metastasis • Fatty liver

Portal Venous Gas on POCUS

Adhikari's Image of the Wk: Portal vein gas! Can be an ominous

Portal Venous Gas ... Image of the Wk: Portal ... @SonoStache #Portal ... VenousGas #POCUS #Liver ... #Ultrasound #Clinical

Couinaud Liver Segments overlaid on right hand - Anatomy Mnemonic
The Couinaud model of hepatic anatomy divides

Couinaud Liver Segments ... anatomy divides the liver ... related to the portal ... #Couinaud #Liver

Appearance of Liver Lesions on Various Imaging Modalities
• Computed Tomography (CT) - Arterial Phase, Portal

Appearance of Liver ... Arterial Phase, Portal ... precontrast, T1 portal ... arterial phase, Portal ... , Metastasis #Liver

Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
• Portal vein thrombosis
• Splenic

Diagnosis Algorithm Portal ... Prehepatic: • Portal ... disease • Acute liver ... • Idiopathic portal ... obstruction Non-portal

Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air

Portal Venous Gas ... Notice the portal ... ultrasound, reverb in liver ... eabramsMD #Portal ... Venous #Gas #Air #Clinical

The Liver Consult Primer - Guide to calling a consult
HPI:
- Start with reason for consult

The Liver Consult ... Focus on prior Liver ... MELD - Chronic liver ... disease work up - Liver ... US - Prior liver

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 ... sepsis (umbilical, portal ... including surgery #Portal

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