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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cbd clinical ultrasound dilated bileduct choledocholithiasis diagnosis abnormal accessories amylase artifact cholangiocarcinoma colonoscopy common devices differential egd endoscopy eus gallbladder
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 ... #ultrasound #biliary
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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 ... #stone #biliary ... clinical #ultrasound #pocus
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 Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Elevated Amylase ... Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... sulindac - Active IBID
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... kwburak #LFTs #Elevated ... Transaminitis #Algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on
ERCP Management ... Algorithm for Patient ... stone on transabdominal ... pancreatitis #ERCP ... Choledocholithiasis #Biliary
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists Biopsy Forceps:
energy or heat to cause ... instruments in ERCP ... visualize ampulla; elevator ... pictures as it passes ... #devices #eus #ercp
Dilated Common Bile Duct on POCUS 50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... no definitive stones ... CT scan and MRI/MRCP ... #POCUS #ultrasound ... #clinical #biliary
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 Dilated Distal Common Bile Duct on POCUS Male with RUQ abdominal pain for 2 days. GB
Common Bile Duct on POCUS ... Labs show elevated ... Answer: MULTIPLE stones ... ERCP/cholecystectomy ... #POCUS #clinical
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