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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Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
of CBD stone " ... #POCUS Can also ... be caused by adenomyomatosis ... #CBD #stone #biliary ... clinical #ultrasound #pocus
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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 ... dilated, but there ... henneberry_ryan #Dilated
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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 ... Ductal obstruction caused ... is a cause of pain ... #Ultrasound #POCUS
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) β€’ US - Dilated ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Cystic Duct Stone ... on Biliary POCUS ... This stone is lodged ... CBD is also dilated ... #Biliary #POCUS
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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 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 ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound
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Gallbladder Adenomyomatosis on POCUS
Adenomyomatosis: one cause of GB wall thickening. Can be associated with GB stones.
Adenomyomatosis on POCUS ... Adenomyomatosis: one cause ... associated with GB stones ... Mural Comet-tail artifact ... #Gallbladder #POCUS
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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 ... TRV--note dilated ... Answer: MULTIPLE stones ... #POCUS #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 ... dL Strong - Dilated ... CBD on US ( > 6 ... ERCP #Management #Algorithm