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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clinical ultrasound biliary management diagnosis choledocholithiasis gastroenterology bileduct abdominal abnormal artifact b12 bariatric bypass cholangiocarcinoma cholelithiasis cobalamin colitis complications cysticduct
Common Bile Duct Stone on POCUS Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... , CBD also looks ... around in the CBD ... #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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 Dilated Common Bile Duct on POCUS 50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... patient with RUQ abd ... no definitive stones ... mass in distal CBD ... #CBD #POCUS #ultrasound
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 Dilated Distal Common Bile Duct on POCUS Male with RUQ abdominal pain for 2 days. GB
Dilated Distal Common ... Pancreas/Distal CBD ... distal CBD. ... in CBD(6+)(Yikes ... #CBD #POCUS #clinical
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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
Cystic Duct Stone on Biliary POCUS Not your average gall stone. This stone is lodged in the
Cystic Duct Stone ... on Biliary POCUS ... Mirizzi syndrome, a common ... CBD is also dilated ... #Biliary #POCUS
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 Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) • US - Dilated ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... stone on transabdominal ... dL Strong - Dilated ... CBD on US ( > 6
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management High Risk • CBD stone visualized
High Risk • CBD ... stone visualized ... common bile duct ... Age > 55 or • Dilated ... common bile duct
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac ... • Labs: - CBC
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