GeraldMD - GrepMed

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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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12 results

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

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 ... kwburak #LFTs #Elevated

Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD

stone "Twinkle ... stone. ... #POCUS Can also ... be caused by adenomyomatosis ... clinical #ultrasound #pocus

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

Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
- Pancreatic cancer
- Complications pancreatitis: eg pseudocyst
-

Elevated Amylase ... Differential Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID

Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days. GB

Dilated Distal Common ... Bile Duct on POCUS ... Labs show elevated ... Answer: MULTIPLE stones ... #POCUS #clinical

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

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

Vitamin B12 (Cobalamin) Deficiency
Etiology:
• Vit B12 - aka cobalamin. Present in foods derived from animal

• Common Causes ... pain, diarrhea related ... to IBD, celiac ... have spuriously elevated ... low levels - Elevated

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