11 results
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... ileus), intra-abdominal ... variety of other causes ... #hepatology #liver
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... Obscure diagnosis ... reverb in liver ... #Gas #Air #Clinical ... #POCUS #Abdominal
Hepatic Artery Calcifications mimicking portal venous gas on Liver POCUS

A 70yo male presents with abdominal pain.
Hepatic Artery Calcifications ... mimicking portal venous ... gas on Liver POCUS ... presents with abdominal ... POCUS #clinical #ultrasound
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... gas, and note central ... #Pneumobilia #air ... #liver #pocus # ... #hepatic
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... Both cause intrahepatic ... result in small air ... POCUS #clinical #abdominal ... #ultrasound #Liver
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Hepatic Artery Calcifications ... Diagnosis? ... portal venous gas ... tends to have air ... POCUS #clinical #ultrasound
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Gas Non-Iatrogenic ... enema, Central venous ... Artery Embolization ... #Air #Portal #Causes ... #differential #diagnosis
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Both cause intrahepatic ... result in small air ... Mnemonic Portal venous ... POCUS #clinical #abdominal ... #ultrasound #Liver
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
Inherited Non-hemolytic Disorders of Hyperbilirubinemia 

== Disorders of Conjugation ==
Gilbert Syndrome:
 • 5-10% of the population
of hemolysis or liver ... abdominal cramps ... and stress may cause ... • Defect in hepatic ... bilirubin #hepatology #diagnosis