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
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
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
Venous Excess Ultrasound (VExUS) - Fluid Overload and Venous Congestion Assessment
Step 1: IVC Diameter: If >2cm,
(VExUS) - Fluid ... step 2 Step 2: Hepatic ... Doppler Step 4: Renal ... #VExUS #diagnosis ... #pocus #congestion
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... arterial phase, Portal ... #POCUS #radiology ... #differential #diagnosis ... table #appearance #hepatology