Dr. Gerald Diaz @GeraldMD
32.9M 14.0K 7.4K
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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Differential diagnosis for pyogenic liver abscess:
Infectious etiologies predominate. Most are pyogenic (bacterial). Amebic (Entamoeba histolytica) and
Differential diagnosis ... pyogenic liver abscess ... β€’ Hepatic Hydatid ... #hepatic #hepatology ... #Differential #
Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
hepatitis, Liver abscess ... Medications), Hepatic ... Subdiaphragmatic abscess ... #RUQ #Pain #differential
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Contrast Enhanced Ultrasound ... Liver #Lesions #Hepatic ... #Ultrasound #Contrast ... POCUS #radiology #differential ... #diagnosis #comparison
Altered Mental Status - Differential Diagnosis
 β€’ Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Mental Status - Differential ... disturbance, Uremia, Hepatic ... Encephalitis, Abscess ... #Status #AMS #Differential
Ketosis Disorders - Comparison Table
 β€’ Starvation Ketosis
 β€’ Alcoholic Ketoacidosis (AKA)
 β€’ Diabetic Ketoacidosis (DKA)
Ketosis Disorders - Comparison ... HHS Overlap Nick ... Disorders #ketones #differential ... endocrinology #comparison
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 ... of air in the hepatic ... portal #venousgas #ultrasound
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Causes of Peptic Ulcer Disease
 β€’ H. Pylori
 β€’ NSAIDs
 β€’ Gastric adenocarcinoma
 β€’ Gastric lymphoma
Causes of Peptic ... Irritation at the neck ... axis stenosis β€’ Hepatic ... cocaine #PUD #Peptic ... Disease #Causes #differential
Cavitary Lung Disease - Differential Diagnosis and Workup Algorithm
Acute / Subacute:
 β€’ Acute Infections: Lung abscess,
Lung Disease - Differential ... Infections: Lung abscess ... Necrotizing Pneumonia, Septic ... lesion #pulmonary #differential
Lemierre's Syndrome on Neck POCUS with IJ Thrombosis - Transverse View

Male with high fever and right
right lateral neck ... Differential/diagnosis ... On ultrasound note ... Had septic emboli ... POCUS #Clinical #Ultrasound
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Gallbladder Perforation with pericholecystic abscess on POCUS

Patient with RUQ pain/fever.  Answer in thread. holecystitis/impacted stone
pericholecystic abscess ... impacted stone in neck ... pericholecystic abscess ... #Perforation #abscess ... POCUS #clinical #ultrasound
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