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 causes comparison congestion contrast grading hypertension lesions radiology syndrome table venous vexus abdominal albumin algorithm artery calcifications
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
Hypertension • Hepatic ... Pancytopenia • Renal ... Hepatorenal syndrome • Ascites ... Complications #hepatology ... #diagnosis
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... peripheral tracking of air ... #hepatology #liver ... #pocus #clinical ... #air
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 Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential Diagnosis ... Hypertension - Hepatic ... disease • Acute liver ... Hypertension - Post-Hepatic ... #Algorithm #Hepatology
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 ... HTN: ascites (SAAG ... HTN: • Ascites ... sarcoidosis) • Liver ... #causes #hepatology
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
Portal Venous Gas on POCUS Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
on POCUS Sick ... Obscure diagnosis ... air on ultrasound ... , reverb in liver ... #Clinical #POCUS
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 Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
- Differential Diagnosis ... - Massive liver ... failure - Hepatic ... syndrome) - Portal ... #hepatology
VExUS - Venous Excess Ultrasound Score The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
renal veins. ... Hepatic Doppler ... still toward the liver ... IVC #Congestion #Diagnosis ... #POCUS #Clinical
Pneumobilia on Abdominal POCUS S/P ERCP presenting with Reynolds' Pentad. Blood Cx grew GPC on Day1 Compare to
Portal is Peripheral ... - VCU Ultrasound ... #Pneumobilia #air ... #liver #pocus # ... #hepatic
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