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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Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
venous gas on hepatic ... ultrasound: A concerning ... reflection on the differential ... ileus), intra-abdominal ... #hepatology #liver
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Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Liver #Lesions #Hepatic ... #Ultrasound #Contrast ... POCUS #radiology #differential ... #diagnosis #comparison ... table #appearance #hepatology
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
: <5 mg/dL β€’ Hepatic ... imaging: Hepatic ... Disease #Pregnancy #hepatology ... obstetrics #hepatitis #comparison ... #differential #
Appearance of Liver Lesions on Computed Tomography (CT) - Arterial Phase, Portal Venous Phase and Delayed
Dysplastic nodule, Hepatic ... Liver #Lesions #Hepatic ... CT #radiology #differential ... #diagnosis #comparison ... table #appearance #hepatology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 β€’ Congestive heart failure
 β€’ Constrictive
Pleural Effusion - Differential ... Pneumonectomy β€’ Trapped lung ... Diaphragmatic: β€’ Hepatic ... Diagnosis #Algorithm #Hepatology
Causes of Bone/Joint Pain in Sickle Cell Disease
Vaso-occlusive pain:
 β€’ Mechanism: ischemic pain
 β€’ Can present
Generally affects long ... Osteomyelitis / Septic ... β€’ Differentiate ... SickleCell #Disease #differential ... diagnosis #causes #hematology
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Contrast Enhanced Ultrasound ... #Ultrasound #Contrast ... POCUS #radiology #differential ... #diagnosis #comparison ... table #appearance #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
nausea, vomiting, abdominal ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential ... Liver #Pregnancy #hepatology
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
Differential/diagnosis ... On ultrasound note ... Had septic emboli ... in lungs ... POCUS #Clinical #Ultrasound
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Appearance of Liver Lesions on Magnetic Resonance Imaging (MRI) - T2, T1 precontrast, T1 portal venous,
Dysplastic nodule, Hepatic ... Liver #Lesions #Hepatic ... MagneticResonance #radiology #differential ... #diagnosis #comparison ... table #appearance #hepatology