11 results
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Differential Diagnosis Algorithm ... non-ICU vs ICU causes ... MRCP, ERCP, liver ... Differential #Diagnosis #Algorithm
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal POCUS ... S/P ERCP presenting ... #Pneumobilia #air ... #liver #pocus #
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Elevated Liver Enzymes ... Differential Diagnosis Algorithm ... • Drugs • AIH ... Differential #Diagnosis #Algorithm ... #Causes
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
duodenal ulcer on RUQ POCUS ... anterior to the liver ... as shown in the case ... Pleural air would ... duodenal #ulcer #RUQ #POCUS
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
peripheral tracking of air ... variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical ... #air
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... / hypoxemia -> focus ... mellitus/DKA - Liver ... - Cyanide - Propofol
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 ... centrally located air ... result in small air ... abdominal #ultrasound #Liver
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Venous Gas on POCUS ... Both cause intrahepatic ... centrally located air ... result in small air ... abdominal #ultrasound #Liver
Necrotizing Fasciitis on POCUS
I was presented a patient with an "abscess". This is why we #POCUS.
This is why we #POCUS ... ultrasound shows air ... POCUS saves lives ... limbs in this case ... dirty shadowing = air
6/02/2022 UPDATE: This assay is designed to detect non-variola orthopoxviruses, including monkeypox virus. It is not
should use this algorithm ... smallpox, the case ... smallpox-diagnostic-algorithm-poster ... detection can aid ... Electron Microscope Protocol