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 Venous Gas on Ultrasound
The most dramatic example I have seen of preterminal systemic intravascular and
Portal Venous Gas ... on Ultrasound ... #VenousGas #Ultrasound ... #Liver #POCUS # ... Clinical #Abdominal
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Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
on hepatic ultrasound ... reflection on the differential ... ileus), intra-abdominal ... variety of other causes ... #hepatology #liver
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Portal Venous Gas on POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... air on ultrasound ... , reverb in liver ... Clinical #POCUS #Abdominal ... #Ultrasound
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Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential ... sarcoidosis) β€’ Liver ... metastasis β€’ Fatty liver ... #Hypertension #Differential ... #Diagnosis #causes
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites ... - Differential ... disease β€’ Acute liver ... 2LmUODZ #Ascites #Differential ... Algorithm #Hepatology #causes
Hepatic Masses on CT - Differential Diagnosis by CT Findings

Masses: Hemangioma, Adenoma, FNH, HCC, Fibrolamellar HCC,
Hepatic Masses on ... CT - Differential ... Arterial Phase, Portal ... #CT #CTA #differential ... #diagnosis #liver
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... Lesions #Hepatic #Ultrasound ... POCUS #radiology #differential
Causes of Low Back Pain - Differential Diagnosis
Intrinsic Spine: Lumbar strain, Herniated nucleus pulposus, Compression fracture,
Causes of Low Back ... Pain - Differential ... β€’ Vascular - abdominal ... #Diagnosis #causes ... #primarycare #msk
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Portal Hypertension ... Cirrhosis, Polycystic liver ... Pre-sinusoidal: Portal ... to cirrhosis, Abdominal ... gastroenterology #diagnosis #differential
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Acute Fatty Liver ... = nonspecific (nausea ... , vomiting, abdominal ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential