Dr. Gerald Diaz @GeraldMD
23.4M 13.8K 7.2K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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hepatology clinical differential management cardiology echocardiogram ultrasound a4c cirrhosis contrast hps liver pulmonary rheumatology appearance comparison complications hepatic hypoxia intrapulmonary
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) ... Alveolar-arterial ... #Syndrome #HPS ... #hepatology #pulmonary
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Carcinoma (HCC) • Hepatopulmonary ... Syndrome (HPS) ... • Hepatorenal Syndrom ... Complications #diagnosis ... management #summary #hepatology
Hepatopulmonary Syndrome HPS - Diagnosis: 1. Patients with liver disease 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary ... Syndrome HPS - Diagnosis ... Alveolar-arterial ... 50 mmHg #HPS #Hepatopulmonary ... #Syndrome #diagnosis
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
• Pulmonary: Hepatopulmonary ... syndrome, Portopulmonary ... Renal: Hepatorenal syndrome ... Complications #hepatology ... #diagnosis
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt 68M
Hepatopulmonary ... Syndrome - Echocardiogram ... syndrome (clubbing ... cardiology #clinical #pocus ... #hepatology #a4c
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 Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Pulmonary AVMs, Hepatopulmonary ... Syndrome - ... Gradient #alveolar #arterial ... #differential #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... pulmonary AVMs, hepatopulmonary ... syndrome), intracardiac ... shunting (eg, atrial ... #Differential #Diagnosis
Appearance of Liver Lesions on Various Imaging Modalities • Computed Tomography (CT) - Arterial Phase, Portal
Tomography (CT) - Arterial ... portal venous, T1 arterial ... Contrast #CT #MRI #POCUS ... #differential #diagnosis ... table #appearance #hepatology
Autoimmune Myositis Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
anti-synthetase syndrome ... - Classic triad ... at diagnosis). ... Autoimmune #Myositis #diagnosis ... #rheumatology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... (IBS) - Diagnosis ... - Limited trial ... Gastroenterology and Hepatology ... Irritable #Bowel #Syndrome
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