Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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13 results
Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Notice the portal air ... on ultrasound, ... reverb in liver ... #Clinical #POCUS ... #Abdominal #Ultrasound
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Pneumoperitoneum - Free Air Reverberation Artifact - Abdominal A-Lines on POCUS

Don't just look for FF on
Pneumoperitoneum - Free Air ... Free air is reverberation ... made in 1 min...xr ... ALines #POCUS #clinical ... #ultrasound
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Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
with severe RUQ abdominal ... anterior to the liver ... Pleural air would ... ulcer #RUQ #POCUS #clinical ... #ultrasound #Abdominal
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Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... ileus), intra-abdominal ... #hepatology #liver ... #pocus #clinical ... #air
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Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
Pneumonia on Lung Ultrasound ... lung looks like liver ... CXR in video for ... Pneumonia #Lung #Ultrasound ... #clinical #pocus
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Pneumobilia on Abdominal POCUS
S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1
Compare to
Pneumobilia on Abdominal ... Blood Cx grew GPC ... #Pneumobilia #air ... #liver #pocus # ... ultrasound #clinical
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Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Acute Fatty Liver ... nausea, vomiting, abdominal ... AP, ↑INR, ↑BUN/Cr ... Antithrombin Ill β€’ Ultrasound ... Maternal Support - Critical
Gastric Rupture on Positive RUQ FAST Exam

Bike vs Car.  Bicyclist hits anterior torso on mailbox.
Exam Bike vs Car ... presence of free air ... Exam #Positive #Abdominal ... #POCUS #clinical ... #ultrasound #Liver
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Pneumoperitoneum via Perforated Duodenal Ulcer- Free Air on Abdominal POCUS

Young patient with diffuse abdominal pain...don't let
Duodenal Ulcer- Free Air ... intraperitoneal air ... position between the liver ... #POCUS #ultrasound ... #clinical
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Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
centrally located air ... result in small air ... Pneumobilia #POCUS #clinical ... #abdominal #ultrasound ... #Liver
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