9 results
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, ... reverb in liver
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... CT #MRI #POCUS #radiology ... #differential #diagnosis
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... Diagnosis? ... portal venous gas ... tends to have air ... POCUS #clinical #ultrasound
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... phase, Portal venous ... Late phase DDx: Venous ... Contrast #POCUS #radiology ... #differential #diagnosis
Leg Pain - Differential Diagnosis Framework

Bone/Joint Causes of Leg Pain:
 • Fracture
 • Arthritis
 • Gout/pseudogout
- Differential Diagnosis ... • Hematoma Venous ... • Aortic/Iliac artery ... Poor pulses - Hair ... lower #extremity #msk
Distinguishing between Inflammatory and Degenerative joint disease
Inflammatory Joint Disease
 • Swelling stimulates joint nociceptors -> Pain
Joint stiffness after ... Stiffness is short-lived ... Degenerative #Comparison #Versus ... #MSK #JointDisease ... #JointPain #Diagnosis
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
changes of the liver ... enema, Central venous ... cellulose, Hepatic Artery ... Intrahepatic #Gas #Air ... #differential #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... after) the J point ... ST elevation in aVR ... Equivalents #ECG #EKG #diagnosis ... #differential #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... Several of the diagnoses ... improved to 90% after ... bleeding often from a liver ... #Radiology #CTChest