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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Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... reflection on the differential ... ileus), intra-abdominal ... variety of other causes ... #clinical #air
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Intraabdominal Abscess on POCUS

RUSH exam for fever, hypotension, abd pain.  You notice this in RUQ.
notice this in RUQ ... Answer: Large intra-abdominal ... signatures of air ... #POCUS #ultrasound ... #clinical #Crohns
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Pneumoperitoneum from perforated duodenal ulcer on RUQ POCUS

Male with severe RUQ abdominal pain. Answer in thread.
POCUS Male with ... severe RUQ abdominal ... Pleural air would ... #POCUS #clinical ... #ultrasound #Abdominal
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Renal Mass found on POCUS
48yo M healthy.  Several ED visits for abdominal pain.  Labs
ED visits for abdominal ... Labs all normal. ... RUQ view Dr. ... #Mass #POCUS #clinical ... #ultrasound #kidney
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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 ... POCUS S/P ERCP ... #Pneumobilia #air ... ultrasound #clinical ... #hepatic
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Gallbladder Sludge ball on POCUS
Can mimic GB mass. Assess mobility & vascularity to differentiate.

Dr. Mohammed Alshamsi
Assess mobility ... vascularity to differentiate ... #clinical #ultrasound ... #RUQ #clinical ... #abdominal
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Causes of Intrahepatic Gas
Non-Iatrogenic:
 β€’ Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... enterocolitis (NEC ... Intrahepatic #Gas #Air ... #Portal #Causes ... #differential #
Perforated Appendicitis and Abscess on Abdominal POCUS

Young patient presents with RLQ abdominal pain and fever. What
on Abdominal POCUS ... presents with RLQ ... antibiotics and had IR ... #Abdominal #POCUS ... #clinical #ultrasound
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Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
POCUS with IJ Thrombosis ... Differential/diagnosis ... Lemierre's Syndrome case ... Had septic emboli ... #POCUS #Clinical
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Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
portal venous gas ... tends to have air ... considered within differential ... #clinical #ultrasound ... #RUQ
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