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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Hepatopulmonary Syndrome (HPS) 

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

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Pulmonary vasculature ... #HPS #hepatology ... #pulmonary #diagnosis
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Pleural Effusion - Differential ... Diagnosis Algorithm ... Malignancy β€’ Pulmonary ... #Diagnosis #Algorithm ... #Hepatology #causes
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... Diagnosis for Pulmonary ... high resolution chest ... #differential # ... diagnosis #nephrology
Total Anomalous Pulmonary Venous Return (TAPVR)
 β€’ Introduction
 β€’ Classification
 β€’ Pathophysiology of TAPVR
 β€’ Presentation
Total Anomalous Pulmonary ... Classification β€’ Pathophysiology ... PVO Present β€’ Diagnosis ... β€’ Chest XRay: ... Return #TAPVR #diagnosis
Truncus Arteriosus
 β€’ Basic Information
 β€’ Embryology
 β€’ Associated anomalies
 β€’ Pathophysiology/Presentation
 β€’ Pre-operative management
 β€’
anomalies β€’ Pathophysiology ... Pre-operative management ... Classification β€’ Classic Chest ... Cardiomegaly, increased pulmonary ... Truncus #Arteriosus #diagnosis
Purple Urine Bag Syndrome
Chronic, indwelling catheter + bacteriuria (Providencia, Klebsiella, E.coli*) + alkaline urine
Tryptophan β†’ Indoxyl
Purple Urine Bag Syndrome ... #PUBS #pathophysiology ... #clinical #photo ... #differential # ... diagnosis
Acquired von Willebrand Syndrome - Diagnosis and Management
 β€’ Autoantibodies to vWF: Lymphoproliferative disorders (e.g. lymphoma,
von Willebrand Syndrome ... - Diagnosis and ... Management β€’ ... #Diagnosis #Management ... #differential
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... coagulopathy) β€’ CBC w differential ... #differential # ... diagnosis #management
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Pregnancy (AFLP) Pathophysiology ... infiltration) Differential ... Diagnosis: Viral ... Liver #Pregnancy #hepatology ... #management #pathophysiology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Weakness, Loss of Chest ... Hepatopulmonary Syndrome ... Hypoxia #hypoxemia #differential ... #diagnosis