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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differential air comparison syndrome abdominal aflp appearance biliary causes congestion contrast echocardiogram grading hypertension lesions metastases metastatic obstetrics plax pregnancy
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
Hypertension • Hepatic ... Pancytopenia • Renal ... Hepatorenal syndrome • Ascites ... Complications #hepatology ... #diagnosis
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... HTN: ascites (SAAG ... HTN: • Ascites ... #causes #hepatology
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 venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... of air in the hepatic ... #venousgas #ultrasound ... #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
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
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
Portal Venous Gas on POCUS Adhikari's Image of the Wk: Portal vein gas! Can be an ominous
on POCUS Adhikari's ... result of recent diagnostic ... #VenousGas #POCUS ... #Liver #Ultrasound ... #Clinical
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 Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
weeks • Typical clinical ... imaging: Normal ... post-partum • Typical clinical ... Disease #Pregnancy #hepatology ... #differential #diagnosis
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