12 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... portal venous system ... traversing the portal ... UAlberta_Sono #portal
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Portal hypertension ... Liver disease ... - Acute fatty liver ... Portal vein occlusion
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Day1 Compare to portal ... Portal is Peripheral ... #Pneumobilia #air ... #liver #pocus # ... #hepatic
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Oddi, Trauma • Portal ... Whipple procedure • Portal ... Intrahepatic #Gas #Air ... #Portal #Causes
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... ischemic bowel with portal ... Both cause intrahepatic ... Mnemonic Portal ... #Liver
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Causes of Abnormal ... Early liver disease ... Prolonged Activated Partial ... e.g. heparin ... Reduced liver synthesis
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Both cause intrahepatic ... Mnemonic Portal ... peripheral Common bile ... clinical #abdominal #ultrasound ... #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 ... tends to have air ... while portal venous ... POCUS #clinical #ultrasound
Pyogenic liver abscess in children
Common bacterial causes in children:
 • S.aureus
 • Strep spp
 • Enteric
Pyogenic liver abscess ... Common bacterial causes ... through: - Hepatic ... artery (e.g., endocarditis ... ) - Portal
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Hepatosplenomegaly & hepatic ... hypoadrenalism • Nausea ... • Echocardiogram ... disproportionate atrial ... Diagnostic imaging of liver