Dr. Gerald Diaz @GeraldMD
27.9M 13.9K 7.3K
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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9 results
Back Pain - Differential Diagnosis
Primary Back Pathology:
 β€’ Musculoligamentous injury (a.k.a. lumbosacral strain)
 β€’ Spondylosis (i.e.
Back Pain - Differential ... Diagnosis Primary ... fracture secondary to metastatic ... breast, prostate, renal ... #primarycare #table
Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing
Common causes: 
 β€’ Renal parenchymal disease
Common causes: β€’ Renal ... parenchymal disease - Renal ... evaluate cause of renal ... Bilateral selective renal ... Screening #Workup #table
VExUS - Venous Excess Ultrasound Score 

The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
(VExUS) grading ... and interlobular renal ... Intra-renal venous ... IVC #Congestion #Diagnosis ... #POCUS #Clinical
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
embryonal sarcoma, Metastasis ... #CT #MRI #POCUS ... #radiology #differential ... #diagnosis #comparison ... #table #appearance
Adrenal Metastases on Renal POCUS
Pt complains of right flank pain, n/v. States feels like prior kidney
on Renal POCUS ... Also has lung CA ... Final diagnosis- ... #Metastases #metastatic ... #mass #Renal #POCUS
β–Ί
Renal Abscess on POCUS
Left flank pain. On ABX Day 5 for pyelo. She has hx of
Renal Abscess on ... Differential would ... include renal abscess ... --renal abscess ... #ultrasound
β–Ί
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
embryonal sarcoma, Metastasis ... #POCUS #radiology ... #differential # ... diagnosis #comparison ... #table #appearance
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
Right renal sag ... Diagnosis/differential ... perinephric/psoas abscess ... #clinical #ultrasound ... #renal
β–Ί
Venous Excess Ultrasound (VExUS) - Fluid Overload and Venous Congestion Assessment
Step 1: IVC Diameter: If >2cm,
step 2 Step 2: Hepatic ... Doppler Step 4: Renal ... #VExUS #diagnosis ... #pocus #congestion ... #grading #grades