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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Algorithm for workup of thrombocytopenia based on observation of the peripheral blood film. 
TTP/HUS indicates thrombotic
for workup of thrombocytopenia ... hemolytic uremic syndrome ... , Hematology 2012 ... #Diagnosis #Differential ... #Algorithm #Thrombocytopenia
Complications of Portal Hypertension
 β€’ Hepatic Encephalopathy
 β€’ Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 β€’
Hypertension β€’ Hepatic ... Encephalopathy β€’ Pulmonary ... hypertension, Hepatic ... β€’ Ascites: Spontaneous ... Complications #hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 β€’ Ascites
 β€’ Esophageal Varices
 β€’ Hepatic
Complications β€’ Ascites ... Esophageal Varices β€’ Hepatic ... β€’ Hepatorenal Syndrom ... Complications #diagnosis #management ... #summary #hepatology
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... Management Refractory ... Peritonitis (SBP) Hepatic ... Complications #diagnosis #management ... gastroenterology #hepatology
Heparin Induced Thrombocytopenia (HIT) - Likelihood, Diagnosis and Management
 - HIT Suspected
 - Calculate 4T Score
Thrombocytopenia ... Diagnosis and Management ... #Induced #Thrombocytopenia ... Algorithm #Diagnosis #Management ... #Hematology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Fitz-Hugh-Curtis syndrome ... Disease, Fulminant Hepatic ... #Differential # ... Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... hypersplenism and related thrombocytopenia ... portal HTN: β€’ Ascites ... Diagnosis #causes #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
- Differential ... Hypertension - Hepatic ... Hypertension - Post-Hepatic ... #Differential # ... Diagnosis #Algorithm #Hepatology
Transjugular Intrahepatic Portosystemic Shunt (TIPS)
TIPS involves the creation of a low-resistance pathway between a hepatic vein
pathway between a hepatic ... β€’ Refractory ascites ... coagulopathy and/or thrombocytopenia ... thrombosis β€’ Hepatic ... Portosystemic #Shunt #hepatology
Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Disorders of the Hepatic ... ) Budd Chiari Syndrome ... EmoryGastroHep #Hepatic ... Circulation #Disorders #Hepatology ... Gastroenterology #diagnosis #Management