8 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
ileus), intra-abdominal ... variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Hepatic infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Choledocho-duodenostomy, Liver ... #Portal #Causes
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
on POCUS - Pneumatosis ... Both cause intrahepatic ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 • Person who lives or has
• Person who lives ... positive tourniquet test ... Intense abdominal ... Liver enlargement ... involvement, such as liver
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... Both cause intrahepatic ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... to bolus these values ... contribution of liver ... mellitus/DKA - Liver ... gluconeogenesis Liver
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
hyperhidrosis, hair ... GH stimulates liver ... peripheral (bronchial/abdominal ... glucose suppression test ... or refractory cases
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... This post will focus ... defaulting to a normal ... consider intra-abdominal ... bleeding often from a liver