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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 End Stage Liver Disease (Cirrhosis) - Complications 
 β€’ Ascites
 β€’ Esophageal Varices
 β€’ Hepatic
End Stage Liver ... Hepatopulmonary Syndrome ... β€’ Hepatorenal Syndrom ... Complications #diagnosis #management ... #summary #hepatology
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Diseases of the lung ... Patients with liver ... #HPS #hepatology
Liver Mass - Differential Diagnosis Algorithm
Cystic:
 β€’ Benign 
     - Simple: Simple
Liver Mass - Differential ... cyst, Polycystic Liver ... secondary - Breast, Lung ... #Mass #Differential ... Algorithm #Causes #Hepatology
Liver Mass Differential Diagnosis
Solid:
 β€’ Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 β€’
Liver Mass Differential ... Hemangioma, Focal nodular ... Echinococcus #Liver ... #Mass #Differential ... #Diagnosis #hepatology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
Acute-on-Chronic Liver ... Brain Failure Lung ... Hepatitis Procedures Management ... Failure #Cirrhosis #Hepatology ... gastroenterology #management
Appearance of Liver Lesions on Various Imaging Modalities
 β€’ Computed Tomography (CT) - Arterial Phase, Portal
Appearance of Liver ... hemangioma, Focal nodular ... , Metastasis #Liver ... POCUS #radiology #differential ... table #appearance #hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... Fitz-Hugh-Curtis syndrome ... <1% #Ascites #Differential ... #Diagnosis #hepatology
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 β€’ Infectious: Hepatitis C, A,
Causes of Acute Liver ... Injury - Differential ... obstruction, HELLP Syndrome ... #Injury #Differential ... Acute #algorithm #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 β€’ Defect in fetal free fatty acid metabolism products β†’
Antithrombin Ill β€’ Ultrasound ... infiltration) Differential ... Intrahepatic Cholestasis Management ... #Pregnancy #hepatology ... obgyn #diagnosis #management
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites - Differential ... disease β€’ Acute liver ... β€’ Budd-Chiari syndrome ... 2LmUODZ #Ascites #Differential ... Diagnosis #Algorithm #Hepatology