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 ... and diaphragm HPS-diagnosis ... Patients with liver ... Alveolar-arterial ... #HPS #hepatology
Left Atrial Myxoma on POCUS Echocardiogram - A4C view
Adult female having fatigue/DOE. Attributes to deconditioning. Starts
- A4C view Adult ... exercise program-has ... Final diagnosis-left ... Echocardiogram #clinical #cardiology ... #A4C
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Hepatic Masses on MRI - Differential Diagnosis by MRI Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
- Differential Diagnosis ... Modalities: T1, T2, Arterial ... Out-of-phase, DWI, ADC ... #liver #hepatology ... #radiology #mass
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison
Left Atrial Myxoma on POCUS Echocardiogram - S4C view
Adult female having fatigue/DOE. Attributes to deconditioning. Starts
on POCUS Echocardiogram ... - S4C view Adult ... exercise program-has ... Final diagnosis-left ... Echocardiogram #clinical #cardiology
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Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Pericarditis on POCUS ... Apical 3-Chamber View ... Had diagnostic tap-fever ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
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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
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
Hepatopulmonary Syndrome ... digital clubbing DIAGNOSIS ... - TRIAD: β€’ Liver ... #cirrhosis #diagnosis ... #hepatology
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... , Metastasis #Liver ... Ultrasound #Contrast #POCUS ... #radiology #differential ... #diagnosis #comparison
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... hepatopulmonary syndrome ... as RAP>LAP as atrial ... #a4c #intrapulmonary ... #cardiology #saline
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