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 Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... - Differential ... Diagnosis Portal ... >10 mmHg - clinically ... #Differential #
Ruptured Hepatic Hyatid Cyst on RUQ Ultrasound

52-yo female with hypotension after blunt abdominal trauma from fall
Ruptured Hepatic ... Ultrasound 52 ... yo female with hypotension ... Abdominal #POCUS #clinical ... #ultrasound #Liver
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Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 β€’ Guidelines as SBP β‰₯130 or DBP β‰₯ 90 mmHg
 β€’
pits <100k), ↑ liver ... ULN) or severe RUQ ... hemolysis, elevated liver ... so have high clinical ... obstetrics #cardiology #differential
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ... ultrasound - ... Triglyceride level - Liver ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Hepatic Artery Calcifications on POCUS
Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis?
Linear intrahepatic
POCUS Liver TRV ... Diagnosis? ... considered within differential ... Calcifications #POCUS #clinical ... #ultrasound #RUQ
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Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Decreased O2 Delivery: Hypotension ... Cardiogenic & Septic ... Clearance: Systemic liver ... #Diagnosis #criticalcare
Adrenal hematoma/hemorrhage on FAST exam

Adult male with RUQ/side pain after MVC. Transient prehospital hypotension.  Has
Adult male with RUQ ... Transient prehospital hypotension ... Diagnosis/differential ... Positive #trauma #clinical ... #ultrasound
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Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... AI, thyroid dz liver ... Classification #diagnosis ... management #Overview #criticalcare ... #differential #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... AI, thyroid dz liver ... Classification #diagnosis ... management #Overview #criticalcare ... #differential #
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
initially include hypotension ... neuraxial anesthesia), Liver ... Undifferentiated #Shock #diagnosis ... #differential # ... guyton #curves #criticalcare