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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15 results
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 ... dilated, but there ... henneberry_ryan #Dilated ... #POCUS #clinical
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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
on POCUS Amazing ... video of a dilated ... significantly, it causes ... Jugular #IJ #Vein #POCUS ... #vascular #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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Pancreatic Duct Stones on Ultrasound
Dilated pancreatic duct with calculi in pancreatic duct. Helpful tip- If pancreatic
on Ultrasound Dilated ... is definitely dilated ... 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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Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... Duct on POCUS 50 ... no definitive stones ... #CBD #POCUS #ultrasound ... #clinical #biliary
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Internal Jugular Vein Rouleaux Flow on POCUS - Longitudinal View

Amazing video of a dilated IJV showing
on POCUS - Longitudinal ... Amazing video of a dilated ... significantly, it causes ... Jugular #IJ #Vein #POCUS ... #vascular #clinical
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Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Bile Duct on POCUS ... Answer: MULTIPLE stones ... #POCUS #clinical ... #gallbladder #clinical
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... stone on transabdominal ... US - Clinical ... dL Strong - Dilated ... than 55 y - Clinical
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac