10 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... Obscure diagnosis ... air on ultrasound ... , reverb in liver ... #Venous #Gas #Air
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... venous system. ... ileus), intra-abdominal ... #hepatology #liver
Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
Portal Venous Gas ... venous gas. ... #Venous #Gas #Pneumatosis ... POCUS #clinical #abdominal ... #ultrasound #Liver
Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... venous gas, and ... - VCU Ultrasound ... #Pneumobilia #air ... #liver #pocus #
Hepatic Artery Calcifications mimicking portal venous gas on Liver POCUS

A 70yo male presents with abdominal pain.
mimicking portal ... venous gas on Liver ... presents with abdominal ... venous gas (which ... POCUS #clinical #ultrasound
Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
result in small air ... Mnemonic Portal ... venous gas-- P for ... 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 ... while portal venous ... POCUS #clinical #ultrasound
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
of Intrahepatic Gas ... enema, Central venous ... cellulose, Hepatic Artery ... #Air #Portal #Causes ... #differential #diagnosis
Abdominal Compartment Syndrome & Intrabdominal Pressure Measurement
APP (Abdominal Perfusion Pressure) = MAP (Mean Arterial Pressure) -
also compromises venous ... BLADDER PRESSURE AS ... the Foley side port ... allow flushing of air ... #Instructions #diagnosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
SpO2 88% on room air ... improved to 90% after ... consider intra-abdominal ... bleeding often from a liver ... #Radiology #CTChest