18 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
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... Obscure diagnosis ... Notice the portal ... air on ultrasound ... eabramsMD #Portal
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Arterial Phase, Portal ... precontrast, T1 portal ... arterial phase, T1 portal ... arterial phase, Portal ... #differential #diagnosis
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Peritoneum Portal ... Liver disease ... - Acute fatty liver ... Portal vein occlusion ... Ascites #Causes #diagnosis
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
VExUS - Venous Excess Ultrasound Score 

The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
waveform of the portal ... Hepatic Doppler ... still toward the liver ... Portal Doppler is ... IVC #Congestion #Diagnosis
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Oddi, Trauma • Portal ... Whipple procedure • Portal ... Intrahepatic #Gas #Air ... #Portal #Causes ... #differential #diagnosis
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... ischemic bowel with portal ... Mnemonic Portal ... RJonesSonoEM #Portal ... #Liver
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Diagnosis? ... portal venous gas ... tends to have air ... while portal venous ... POCUS #clinical #ultrasound
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Early liver disease ... Prolonged Activated Partial ... unfractionated heparin ... Reduced liver synthesis ... Prolonged #Causes #diagnosis