Dr. Gerald Diaz @GeraldMD
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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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clinical differential appearance comparison contrast lesions metastases metastatic portal radiology table aflp air algorithm congestion ct excess fatty grading hepatorenal
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Diagnosis Chronic ... liver disease ( ... , HIV-related, Renal ... Disease, Fulminant Hepatic ... #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... portal HTN: • Ascites ... sarcoidosis) • Liver ... #causes #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Differential Diagnosis ... disease • Acute liver ... #Algorithm #Hepatology ... #causes
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... ultrasound: A concerning ... variety of other causes ... #hepatology #liver ... #pocus #clinical
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 Appearance of Liver Lesions on Various Imaging Modalities • Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... #Lesions #Hepatic ... #CT #MRI #POCUS ... #differential #diagnosis ... table #appearance #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Syndrome (HRS) - Diagnostic ... haematuria, Normal renal ... ultrasound HRS-NAKI ... - No other cause ... HRSAKI #HRSNAKI #hepatology
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... ) Differential Diagnosis ... #Pregnancy #hepatology
Hepatic Metastases on POCUS Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... Focused renal u/ ... Note hepatic masses ... #POCUS #clinical ... #ultrasound #metastatic
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 Hepatic Metastases on POCUS Patient with history of colon cancer presents with right flank pain. Focused
on POCUS Patient ... Focused renal u/ ... Note hepatic masses ... #POCUS #clinical ... #ultrasound #metastatic
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 VExUS - Venous Excess Ultrasound Score The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
of the portal, hepatic ... Hepatic Doppler ... still toward the liver ... IVC #Congestion #Diagnosis ... #POCUS #Clinical
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