Dr. Gerald Diaz @GeraldMD
50.0M 14.4K 7.6K
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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Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
on POCUS Here’ ... s a similar case ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD
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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 ... out this dancing CBD ... #POCUS Can also ... be caused by adenomyomatosis ... Twinkle #Artifact #CBD
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Colorectal Dysplasia in IBD - IBD Algorithm

When / How to Screen for Dysplasia in IBD
New AGA
Colorectal Dysplasia in IBD ... - IBD Algorithm ... for Dysplasia in IBD ... Colorectal #Dysplasia #IBDAlgorithm ... #IBD #Algorithm
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 ... FF/no AAA.... but ... Infected stone. ... Hydronephrosis #POCUS
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Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Elevated Amylase ... Pancreatic causes ... Non-pancreatic causes ... obstruction - Drugs: 5-ASA ... 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
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
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Labs show elevated ... Pancreas/Distal CBD ... dilated distal CBD ... in CBD(6+)(Yikes ... Common #BileDuct #CBD
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
: • Vit B12 - aka ... • Common Causes ... papillae of tongue), abd ... diarrhea related to IBD ... have spuriously elevated
Giant AAA on POCUS

Elderly pt with abd/back pain. Stable. Has pulsatile mass on exam spans 12
Giant AAA on POCUS ... Elderly pt with abd ... answer (of course)-POCUS ... Article has case ... #Giant #POCUS #
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