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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8 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 ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... stone on transabdominal ... Strong - Dilated CBD ... ( > 6 mm with galbladder
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 Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... in CBD(6+)(Yikes ... ERCP/cholecystectomy ... Common #BileDuct #CBD
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Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... no definitive stones ... CT scan and MRI/MRCP ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD
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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
Limy Bile Syndrome on POCUS

You are performing a POCUS GB exam on elderly woman and notice
Bile Syndrome on POCUS ... are performing a POCUS ... stasis.Rarely known to cause ... cholecystitis or move into CBD ... #clinical #gallbladder
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
(N/V bloating, abd ... rich meals Kidney Stones ... Gastric bypass causes ... and forms renal stones ... risk is low • ERCP