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 POCUS

Sick hypotensive patient. Obscure diagnosis in 2 mins. Notice the portal air
Portal Venous Gas ... air on ultrasound ... , reverb in liver ... #Venous #Gas #Air ... POCUS #Abdominal #Ultrasound
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Portal Venous Gas:
Ill-appearing elderly postop patient. Taken back to OR for ischemic bowel
Gas in the liver:
bowel Gas in the liver ... - VCU Ultrasound ... #Venous #Gas #Air ... #POCUS #Liver # ... Ultrasound #Clinical
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Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... Injury Transaminase ... Alcoholic cirrhosis, Portal ... #Patterns #Liver ... transaminitis #differential
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... Contrast Enhanced Ultrasound ... , Metastasis #Liver ... POCUS #radiology #differential ... #diagnosis #comparison
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
Lelli's Test (Lever ... Sign) for ACL Injury ... Normal on the right ... #Lellis #Test #Lever ... physicalexam #sports #msk
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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 ... peripheral tracking of air ... #hepatology #liver ... pocus #clinical #air
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Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
Air Bronchograms ... Pneumonia on Lung Ultrasound ... lung looks like liver ... CXR in video for comparison ... Pneumonia #Lung #Ultrasound
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Liver Abscess - Differential Diagnosis
Pyogenic:
 β€’ Hepatobiliary
 β€’ Colonic
 β€’ Bacteremia
Entamoeba histolytica:
 β€’ Fecal/oral
 β€’ Colitis
Liver Abscess - ... Differential Diagnosis ... histolytica: β€’ Fecal/oral ... US, serology β€’ PAIR ... Darcy_ID_doc #Liver
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 β€’ Onset/Trimester: 25-32 weeks
 β€’ Typical clinical features:
Liver Disease in ... Hemolysis, Elevated Liver ... clinical features: Liver ... BrighamChiefs #Liver ... #differential #
Appearance of Liver Lesions on Computed Tomography (CT) - Arterial Phase, Portal Venous Phase and Delayed
Appearance of Liver ... Arterial Phase, Portal ... , Metastasis #Liver ... CT #radiology #differential ... #diagnosis #comparison