8 results
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
Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
abdominal pain. ... anterior to the liver ... separated from bowel as ... Pleural air would ... POCUS #clinical #ultrasound
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 - 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
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
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Diagnosis? ... portal venous gas ... tends to have air ... POCUS #clinical #ultrasound ... #RUQ
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 ... cellulose, Hepatic Artery ... #Air #Portal #Causes ... #differential #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... consider intra-abdominal ... bleeding often from a liver ... Most commonly caused ... #Radiology #CTChest