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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Liver Mass Differential Diagnosis
Solid:
 β€’ Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 β€’
Liver Mass Differential ... Cystadenocarcinoma, Primary SCC Infectious ... Echinococcus #Liver ... #Mass #Differential ... Diagnosis #hepatology #Radiology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... months without treatment ... disease, liver ... Coagulation Failure Infections
Histoplasmosis - Histoplasma capsulatum 
Found in Spelunkers. Caves. Bat and Bird droppings
Distribution: Mississippi and Ohio River
Mississippi and Ohio River ... Valleys Clinical ... β€’ Disseminated infection ... Flu-like β€’ Chronic infection ... : TB-like Treatment
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... CT #MRI #POCUS #radiology ... #differential # ... diagnosis #comparison #table
Miliary Pattern - Chest Radiology
 β€’ Miliary opacities are scattered, small (1 -4 mm) nodules
 β€’
Pattern - Chest Radiology ... Opacities: β€’ Infectious ... Pattern #Chest #Radiology ... #differential # ... pulmonary #CXR #clinical
Hordeolum vs Chalazion

Hordeolum (Stye):
 β€’ Location: Most commonly found at or near an eyelash follicle
 β€’
Cause: Bacterial infection ... , swelling β€’ Treatment ... painless lump β€’ Treatment ... eyedrops, surgery #Clinical ... Chalazion #Comparison #Table
Drugs Used for the Treatment of COVID-19 Infection

** Editor Note (from ophthalmology MD input) - Hydroxychloroquine/chloroquine
Drugs Used for the Treatment ... of COVID-19 Infection ... HCQ treatment would ... highlighted circle= clinical ... #Pharmacology #Table
Nodular pattern(2)
1. Sarcoidosis: nodules with perilymphatic distribution, along fissures, adenopathy.
2. TB: Tree-in-bud appearance in a patient
bronchiolitis in infection ... #Clinical #Radiology ... Pattern #Comparison #Table
Differential diagnosis of Langerhans cell histiocytosis.
Nodular LCH:
- Sarcoidosis: perilymphatic distribution.
- Metastases: random distribution.
Cystic LCH:
- LAM: round
Differential diagnosis ... central dot. - LIP #Clinical ... #Diagnosis #Radiology ... Cystic #Cysts #Differential ... #Comparison #Table
Appearance of Liver Lesions on Computed Tomography (CT) - Arterial Phase, Portal Venous Phase and Delayed
Appearance of Liver ... , Metastasis #Liver ... ComputedTomography #CT #radiology ... #differential # ... diagnosis #comparison #table