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 differential ultrasound cbd clinical deficiency b12 bileduct cobalamin gastroenterology stone vitamin artifact ascariasis choledocholithiasis dilated fat fe hiv hyperoxaluria
Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm HIV + IBD Background HIV + IBD Treatment Intestinal
Intestinal Manifestations ... HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... Differential Diagnosis Biliary ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... Differential #Diagnosis #Causes
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Insufficiency Intestine ... Celiac disease, IBD ... infection, B12 malabsorption ... differential #diagnosis #causes
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... e.g. in vegans), malabsorption ... disorders of small intestine ... diarrhea related to IBD ... bariatric, gastric, intestinal
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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 Oxalate & Secondary Hyperoxaluria (1) High-oxalate diet (eg spinach, rhubarb) (2) Fat malabsorption (IBD, s/p RYGB) (3) Alterations in
rhubarb) (2) Fat malabsorption ... (IBD, s/p RYGB) ... Alterations in intestinal ... Genetic variants of intestinal ... Hyperoxaluria #causes
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Differential Diagnosis Algorithm ... cancer, ulcer, IBD ... Low iron diet MALABSORPTION ... #Fe #algorithm
Common Bile Duct Ascariasis on POCUS Less common than Intestinal Ascariasis but we do see a lot
Ascariasis on POCUS ... Less common than Intestinal ... wiggling in the CBD ... #BileDuct #Biliary ... #POCUS #ultrasound
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 Twinkle Artifact of CBD stone "Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... #POCUS Can also ... be caused by adenomyomatosis ... #stone #biliary ... clinical #ultrasound #pocus
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