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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14 results
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 β€’ Fever, acute onset RUQ pain,
Acute sickle cell hepatic ... Supportive with treatment ... crisis Acute Hepatic ... Liver transplant ... hepatology #hepatitis #differential
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
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
ultrasound: A concerning ... reflection on the differential ... of air in the hepatic ... portal #venousgas #ultrasound ... #hepatology #liver
β–Ί
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Dehydration Shock Treatment ... #Diagnosis #criticalcare ... #algorithm #treatment
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 β€’ Stand at foot of bed
 β€’ Introduce yourself
RRT leader β€’ Ask ... β€’ Concise one-liner ... Orders placed, treatments ... RRT #Management #treatment ... #criticalcare
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
management - RUQ ultrasound ... Triglyceride level - Liver ... strategy as for septic ... Diagnosis #Management #CriticalCare
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Then, ask 3 questions ... approach to the differential ... Treatment: Treatment ... include vaptans (HF/liver ... #Hyponatremia #Differential
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Cardiogenic & Septic ... Clearance: Systemic liver ... Lactic #Acidosis #Differential ... #Diagnosis #criticalcare
Shock - Diagnosis and Management Summary
 β€’ Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... Shock - Septic ... Management #Summary #criticalcare ... #treatment #workup
Appearance of Liver Lesions on Contrast Enhanced Ultrasound - Early arterial, Grayscale phase, Late arterial phase,
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... #Lesions #Hepatic ... POCUS #radiology #differential