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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Cholestatic Liver Disease: Primary Biliary Cirrhosis vs Primary Sclerosing Cholangitis

#pathophysiology #pbc #psc #hepatology #comparison
Primary Biliary Cirrhosis ... pathophysiology #pbc #psc #hepatology ... #comparison
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... liver disease (cirrhosis ... failure - 3-5% Cirrhosis ... <1% #Ascites #Differential ... #Diagnosis #hepatology
Complications of Portal Hypertension
 β€’ Hepatic Encephalopathy
 β€’ Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 β€’
Encephalopathy β€’ Pulmonary ... hydrothorax β€’ Cirrhotic ... Complications #hepatology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Pleural Effusion - Differential ... - Oncotic β€’ Cirrhosis ... Malignancy β€’ Pulmonary ... Pleural #Effusion #Pulmonary ... Diagnosis #Algorithm #Hepatology
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework
Mild (<100-500): 
 β€’ NAFLD
 β€’ Cirrhosis
 β€’
Tests (LFTs) - Differential ... β€’ NAFLD β€’ Cirrhosis ... #Tests #LFTs #Differential ... #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... Clues to non-cirrhotic ... #Hypertension #Differential ... Diagnosis #causes #hepatology
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
(HPS) HPS-differential ... Pulmonary vasculature ... Syndrome #HPS #hepatology ... #pulmonary #diagnosis
Causes of Hypocomplementemia - CHAMPS Mnemonic
C - Cryoglobulinemia (85%), C3 glomerulopathy, cirrhosis
H - Heavy Chain deposition
glomerulopathy, cirrhosis ... Mnemonic #diagnosis #differential ... #hematology
Causes of Thrombocytopenia - Differential Diagnosis Framework
Decreased Production:
 - Drugs (chemo, yang, sulfa, acetaminophen, NSAIDs, quinine,
Thrombocytopenia - Differential ... sequestration: - Cirrhosis ... Thrombocytopenia #Differential ... Diagnosis #Framework #hematology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
Failure (ACLF) Clinical ... those with CLD (Β± cirrhosis ... Liver #Failure #Cirrhosis ... #Hepatology #gastroenterology