Dr. Gerald Diaz @GeraldMD
23.1M 13.8K 7.2K
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 ... variety of other causes ... #hepatology #liver ... #pocus #clinical
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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 ... anterior to the liver ... Pleural air would ... #ultrasound #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 #
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 ... #liver #pocus # ... #hepatic
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Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... tends to have air ... considered within differential ... #clinical #ultrasound ... #RUQ
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Portal Venous Gas on POCUS - Pneumatosis
Patient has ischemic bowel with portal venous gas.
Both cause intrahepatic
on POCUS - Pneumatosis ... Both cause intrahepatic ... result in small air ... #clinical #abdominal ... #ultrasound #Liver
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Pneumobilia on POCUS
Patient is s/p Whipple surgery and has pneumobilia.
Both cause intrahepatic branching gas pattern. Pneumobilia
Pneumobilia on POCUS ... Both cause intrahepatic ... Mnemonic Portal ... #clinical #abdominal ... #ultrasound #Liver
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