30 results
VExUS - Venous Excess Ultrasound Score 

The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
(VExUS) grading ... inferior vena cava (IVC ... still toward the liver ... #Diagnosis #POCUS ... #Clinical #Grading
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... on POCUS Sick ... Obscure diagnosis ... air on ultrasound ... , reverb in 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 ... result of recent diagnostic ... #VenousGas #POCUS ... #Liver #Ultrasound
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #differential #diagnosis
VExUS - Venous Excess Ultrasound Score 
Grade 0 - IVC grade < 3, HD grade 0,
Ultrasound Score ... 4, but normal HV ... #Ultrasound #Score ... #Diagnosis #POCUS ... #Clinical #Grading
Venous Excess Ultrasound (VExUS) - Fluid Overload and Venous Congestion Assessment
Step 1: IVC Diameter: If >2cm,
Venous Excess Ultrasound ... and any combo of Normal ... #VExUS #diagnosis ... #pocus #congestion ... #grading #grades
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... vein and IVC, ( ... ) estimated by gradient ... and hepatorenal syndrome ... Schistosomiasis • Veno-occlusive
BRASH Syndrome

B - Bradycardia
R - Renal failure
A - AV nodal blockade
S - Shock
H - Hyperkalemia

Typical ECG
BRASH Syndrome ... hypovolemic, give IV ... balanced fluids" > normal ... #diagnosis #management ... #pathophysiology
Normal hepatic vein Doppler Ultrasound tracing
1) a large antegrade waveform (negative velocity) noted during early and
Normal hepatic vein ... Doppler Ultrasound ... pressure that exceeds IVC ... #tracing #diagnosis ... #pocus
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
carbohydrates (IVF ... of re-feeding syndrome ... insulin deficiency, leading ... #differential #diagnosis ... #management #endocrinology