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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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
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
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... s a similar case ... This time on pocus ... #POCUS #clinical
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Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
stone. ... #POCUS Can also ... be caused by adenomyomatosis ... #clinical #ultrasound ... #pocus
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Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... echo/flat IVC/no abd ... Infected stone. ... Hydronephrosis #POCUS ... Renal #Ultrasound #Clinical
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Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... fatigue despite clinical ... /other causes β€’ ... modifications Algorithm ... #Algorithm #diagnosis
Intestinal Ascariasis on Point of Care Ultrasound (POCUS)

Ultrasound of tubular structure with echogenic walls in dilated
Intestinal Ascariasis ... Care Ultrasound (POCUS ... obstruction (as in this case ... rick_devpriyo #Intestinal ... #Clinical #Parasite
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Pancreatic Duct Stones on Ultrasound
Dilated pancreatic duct with calculi in pancreatic duct. Helpful tip- If pancreatic
Pancreatic Duct Stones ... Ductal obstruction caused ... is a cause of pain ... #Ultrasound #POCUS ... #clinical #pancreas
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Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Cystic Duct Stone ... on Biliary POCUS ... CBD is also dilated ... #Biliary #POCUS ... ultrasound #abdominal #clinical
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... bariatric, gastric, intestinal