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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Complications of Portal Hypertension
 β€’ Hepatic Encephalopathy
 β€’ Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 β€’
Hepatic Encephalopathy ... Pancytopenia β€’ Renal ... Hepatorenal syndrome β€’ Ascites ... Complications #hepatology ... #diagnosis
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
- Differential Diagnosis ... Hepatic: β€’ Cirrhosis ... disease β€’ Acute liver ... Post-Hepatic: ... #Algorithm #Hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... - Differential Diagnosis ... HTN: ascites (SAAG ... HTN: β€’ Ascites ... #causes #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
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... #Lesions #Hepatic ... #CT #MRI #POCUS ... #differential #diagnosis ... table #appearance #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
β–Ί
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
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Echocardiogram Septic ... Worsening hypotension ... Diagnosis? ... Echocardiogram #ultrasound ... #Cardiology #PLAX
β–Ί
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
Syndrome (HRS) - Diagnostic ... No haematuria, Normal ... renal ultrasound ... Hepatorenal #Syndrome #diagnosis ... HRSAKI #HRSNAKI #hepatology