Dr. Gerald Diaz @GeraldMD
39.6M 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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Right Upper Quadrant Pain
Liver:
 - Infectious: Acute viral hepatitis, Liver abscess
 - Non-infectious: hepatitis (Alcohol, Medications),
Quadrant Pain Liver ... viral hepatitis, Liver ... Medications), Hepatic ... Subdiaphragmatic abscess #RUQ ... #Pain #differential
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Obstructive pattern on hepatic ... compression of biliary ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound ... Clinical #Transverse #Biliary
β–Ί
Hepatic Masses on MRI - Differential Diagnosis by MRI Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
Hepatic Masses on ... MRI - Differential ... Venous, Delayed, Hepato-Biliary ... #Masses #MRI #differential ... #diagnosis #liver
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 β€’ Fever, acute onset RUQ pain,
Acute sickle cell hepatic ... crisis Acute Hepatic ... progressing to acute liver ... Liver transplant ... hepatology #hepatitis #differential
Liver Mass Differential Diagnosis
Solid:
 β€’ Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 β€’
Liver Mass Differential ... Solid: β€’ Benign: Hepatic ... disease, Biliary ... Echinococcus #Liver ... #Mass #Differential
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 β€’ Infectious: Hepatitis C, A,
Injury - Differential ... hepatitis, Acute biliary ... Vasculature β€’ Hepatic ... Congestion/CHF β€’ Hepatic ... #Injury #Differential
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... Disease, Fulminant Hepatic ... Failure, Pancreatic, Biliary ... <1% #Ascites #Differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... sarcoidosis) β€’ Liver ... metastasis β€’ Fatty liver ... pregnancy β€’ Primary biliary ... #Hypertension #Differential
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites - Differential ... Hypertension - Hepatic ... disease β€’ Acute liver ... failure β€’ Primary biliary ... Hypertension - Post-Hepatic
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... , Metastasis #Liver ... #Lesions #Hepatic ... #Ultrasound #Contrast ... POCUS #radiology #differential