Dr. Gerald Diaz @GeraldMD
34.5M 14.2K 7.5K
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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Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Pulmonary vasculature ... Patients with liver ... #HPS #hepatology
Red Blood Cell (RBC) Morphology Atlas
 β€’ Microcytic - Iron-deficiency anemia, Thalassemia, Sideroblastic anemia, Lead poisoning
Myelodysplastic syndrome ... PD deficiency, Pulmonary ... Hemolytic uremic syndrome ... key #diagnosis #differential ... #hematology
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 β€’ Infectious: Hepatitis C, A,
Causes of Acute Liver ... Injury - Differential ... obstruction, HELLP Syndrome ... #Injury #Differential ... Acute #algorithm #hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... Fitz-Hugh-Curtis syndrome ... <1% #Ascites #Differential ... #Diagnosis #hepatology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... Dehydration Shock Treatment
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Pleural Effusion - Differential ... β€’ Nephrotic syndrome ... Malignancy β€’ Pulmonary ... Pleural #Effusion #Pulmonary ... Diagnosis #Algorithm #Hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites - Differential ... disease β€’ Acute liver ... β€’ Budd-Chiari syndrome ... 2LmUODZ #Ascites #Differential ... Diagnosis #Algorithm #Hepatology
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 β€’ Fever, acute onset RUQ pain,
Supportive with treatment ... progressing to acute liver ... Liver transplant ... Hepatobiliary #hepatology ... #hepatitis #differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... and hepatorenal syndrome ... β€’ Budd Chiari syndrome ... sarcoidosis) β€’ Liver ... Diagnosis #causes #hepatology
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... Contrast #CT #MRI #POCUS ... #radiology #differential ... table #appearance #hepatology