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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116 results
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
Complications of Portal Hypertension
 β€’ Hepatic Encephalopathy
 β€’ Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 β€’
Encephalopathy β€’ Pulmonary ... Hepatopulmonary syndrome ... Renal: Hepatorenal syndrome ... Complications #hepatology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Pleural Effusion - Differential ... β€’ Nephrotic syndrome ... Malignancy β€’ Pulmonary ... Pleural #Effusion #Pulmonary ... Diagnosis #Algorithm #Hepatology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... on POCUS Echocardiogram ... Differential/diagnosis ... #Echocardiogram ... #A4c #clinical
β–Ί
Isolated Hyperbilirubinemia - Differential Diagnosis Algorithm
Direct Hyperbilirubinemia: Dubin-Johnson Syndrome, Rotor Syndrome
Indirect Hyperbilirubinemia: 
 - Trauma, Hematoma,
Hyperbilirubinemia - Differential ... Dubin-Johnson Syndrome ... , Rotor Syndrome ... Hyperbilirubinemia #Isolated #Differential ... Diagnosis #Algorithm #hepatology
Algorithm for workup of thrombocytopenia based on observation of the peripheral blood film. 
TTP/HUS indicates thrombotic
hemolytic uremic syndrome ... thrombocytopenia, Hematology ... #Diagnosis #Differential
Differential diagnosis of schistocytes / fragmentation hemolysis:
 β€’ Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... hemolytic-uremic syndrome ... anemia" β€’ HELLP syndrome ... #schistocytes #differential ... #diagnosis #hematology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Fitz-Hugh-Curtis syndrome ... <1% #Ascites #Differential ... #Diagnosis #hepatology
Pulmonary Vein Stenosis on Echocardiogram - PLAX - Color Doppler
41 y/o w no PMHx

- Edinson Garcia.
Pulmonary Vein Stenosis ... on Echocardiogram ... PulmonaryVein #Stenosis #Echocardiogram ... Color #Doppler #pocus ... #clinical
β–Ί
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites - Differential ... β€’ Budd-Chiari syndrome ... β€’ Nephrotic syndrome ... 2LmUODZ #Ascites #Differential ... Diagnosis #Algorithm #Hepatology