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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 End Stage Liver Disease (Cirrhosis) - Complications 
 β€’ Ascites
 β€’ Esophageal Varices
 β€’ Hepatic
Carcinoma (HCC) β€’ Hepatopulmonary ... Syndrome (HPS) ... β€’ Hepatorenal Syndrom ... Complications #diagnosis ... management #summary #hepatology
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) ... Patients with liver ... Alveolar-arterial ... #hepatology #pulmonary
Hepatopulmonary Syndrome
HPS - Diagnosis:
 1. Patients with liver disease
 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary ... Syndrome HPS - Diagnosis ... Patients with liver ... Alveolar-arterial ... #Syndrome #diagnosis
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #differential #diagnosis ... table #appearance #hepatology
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
Hepatopulmonary ... Syndrome - Illness ... digital clubbing DIAGNOSIS ... - TRIAD: β€’ Liver ... #diagnosis #hepatology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Propofol infusion syndrome ... bradycardia. renal/liver ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare #diagnosis
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... , Metastasis #Liver ... Ultrasound #Contrast #POCUS ... #differential #diagnosis ... table #appearance #hepatology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... #2 c/w hepatopulmonary ... syndrome #1: Pulm ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus
β–Ί
Phases of Colchicine Toxicity
 - Early Phase (0-24h) 
 - Multi-organ failure Phase (1-7 days)
Respiratory Distress Syndrome ... edema, myopathy Hematologic ... Renal failure, Liver ... Toxicology #Phases #Pharmacology ... #Diagnosis