Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis ultrasound clinical differential cbd hepatology bileduct choledocholithiasis dilated elevated gastroenterology management stone abnormal acute amylase artifact ascariasis ascites bariatric
Mirizzi Syndrome on RUQ POCUS Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... MRCP performed. ... compression of biliary ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound
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 Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Causes of Acute ... hepatitis, Acute biliary ... Extrahepatic • Biliary ... Differential #Diagnosis #Causes ... #Acute #algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on
ERCP Management ... Algorithm for Patient ... Moderate - Abnormal liver ... pancreatitis #ERCP ... Choledocholithiasis #Biliary
The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... have concomitant IBD ... COLITIS - PSC-IBD ... colorectal and hepato-biliary ... judicious use of ERCP
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Differential Diagnosis Algorithm ... Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... sulindac - Active IBID
Common Bile Duct Stone on POCUS Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... Here’s a similar case ... This time on pocus ... Choledocholithiasis #POCUS ... clinical #ultrasound #biliary
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 Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... disease • Acute liver ... failure • Primary biliary ... #Hepatology #causes
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... Differential Diagnosis Biliary ... • Infection— liver ... Celiac disease • IBD ... Differential #Diagnosis #Causes
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
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