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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Patterns of Liver Injury
Transaminase Levels:
  > 50x normal - Ischemic Hepatitis
  > 20x normal
Patterns of Liver ... Injury Transaminase ... #Patterns #Liver ... #Injury #hepatology ... transaminitis #differential
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 ... #Sign #ACL #Injury ... physicalexam #sports #msk
β–Ί
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 β€’ Intrinsic - predictable, dose dependent
Diagnosis and Management ... Injury (DILI) ... dose dependent injury ... #differential # ... Diagnosis #Management
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
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
Portal venous gas ... on hepatic ultrasound ... reflection on the differential ... #venousgas #ultrasound ... #hepatology #liver
β–Ί
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Acute Fatty Liver ... Antithrombin Ill β€’ Ultrasound ... infiltration) Differential ... Intrahepatic Cholestasis Management ... obgyn #diagnosis #management
Distal Radius Fracture 
Distal radius fracture is the most common orthopedic injury. Here's a quick summary.
β€’
common orthopedic injury ... intra-articular dorsal ... ) β€’ ED Management ... XRay #Diagnosis #Management ... #Orthopedics #MSK
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Medications, Spinal Cord Injury ... Sophia_Hayes_MD #Shock #Differential ... algorithm #treatment #management
Hypocalcemia - Diagnosis and Management
PTH Independent (↑ PTH)
 β€’ LOW VIT D
    -
Diagnosis and Management ... - Activation: Liver ... (phenytoin) β€’ NORMAL ... Hypocalcemia #Diagnosis #Management ... endocrinology #differential
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
and swelling to dorsal ... , median nerve injury ... β€’ ED Management ... XRay #Diagnosis #Management ... Orthopedics #Sports #MSK