10 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 ... #POCUS #Abdominal ... #Ultrasound
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... portal venous system ... ileus), intra-abdominal ... #hepatology #liver
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... #Lesions #Hepatic ... CT #MRI #POCUS #radiology ... #differential #diagnosis
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 ... Compare to portal venous ... #Pneumobilia #air ... #liver #pocus # ... #hepatic
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
Hepatic Artery Calcifications ... POCUS Liver TRV ... Diagnosis? ... 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 ... #POCUS #radiology ... #differential #diagnosis
Causes of Intrahepatic Gas
Non-Iatrogenic:
 • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
• Parenchymal: Hepatic ... enema, Central venous ... Artery Embolization ... Intrahepatic #Gas #Air ... #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
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