11 results
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Portal hypertension ... Liver disease ... Portal vein occlusion ... - Bile ascites
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... HTN: ascites (SAAG ... HTN: • Ascites ... sarcoidosis) • Liver ... metastasis • Fatty liver
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Diagnosis Algorithm Portal ... Prehepatic: • Portal ... disease • Acute liver ... • Idiopathic portal
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
Common Malignancies That Cause Ascites
The most common malignancies causing ascites are ovarian cancer, pancreatic cancer, gastric
Malignancies That Cause ... metastases causing portal ... ascites by portal ... hypertension or hepatic ... • PORTAL HYPERTENSION
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
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
Hepatorenal Syndrome (HRS)

Definition:
• Functional, potentially reversible kidney impairment.
• Occurs in advanced liver disease: cirrhosis, severe alcoholic
Pathophysiology: • Portal ... • Normal kidney ... ultrasound ... diuretic-resistant ascites ... insult (e.g., alcohol
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
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