Dr. Gerald Diaz @GeraldMD
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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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diagnosis ultrasound msk radiology management abdominal biliary cbd ruq syndrome adenitis color commonbileduct disease doppler endocrinology injury lesion mesenteric rlq
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... AST): • US - Normal ... Ducts - CBD ... LFTs #Elevated #Abnormal
Common Bile Duct (CBD) on Abdominal Ultrasound The key to finding CBD is to look anteriorly to
key to finding CBD ... stretched out portal ... CommonBileDuct #clinical ... #ultrasound #pocus ... #normal #RUQ
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 Approach to Thyroid Function Tests in the Evaluation of Hyperthyroidism • Low TSH, Low normal T4
• Low TSH, Low normal ... • Low TSH, normal ... Scan • High or normal ... Hyperthyroidism → MRI ... Hyperthyroidism #algorithm
Orofacial Granulomatosis - Diagnosis and Management Algorithm Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma Melkersson-Rosenthal
and Management Algorithm ... facial paralysis *Differential ... Moderate-Severe OFG, MRS ... manif. of IBD; ... Resolve w Rx of IBD
Complex Hydronephrosis on Renal POCUS Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... the RUSH exam - normal ... echo/flat IVC/no abd ... Hydronephrosis #POCUS ... Renal #Ultrasound #Clinical
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 Posterior Ankle Impingement (Os Trigonum) Syndrome - MSK Radiology Imaging Findings: • Os trigonum which has marrow
, os trigonum, abnormal ... hallucis longus Differential ... thickening and abnormal ... OsTrigonum #Syndrome #clinical ... #mri #clinical
Hydroxyapatite Deposition Disease (HADD) - MSK Radiology Imaging Findings: • Ovoid hypointense structures along the bursal surface
• MRI shows globular ... gradient-echo imaging with abnormal ... Differential diagnosis ... low-signal normal ... #mri #clinical
Adrenal Insufficiency Differential Diagnosis Algorithm Clinical suspicion: Weakness, fatigue, nausea, musculoskeletal pain, dizziness, volume depletion, abdominal pain,
Insufficiency Differential ... Diagnosis Algorithm ... Clinical suspicion ... insufficiency • Low or normal ... #Diagnosis #Algorithm
Mirizzi Syndrome on RUQ POCUS Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Adult male-RUQ abd ... hepatic panel with normal ... Syndrome #Liver #POCUS ... Ultrasound #Gallstone #Clinical
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 Focal Periphyseal Edema (FOPE lesion) - MSK Radiology Imaging Findings: • Arrows identifying the characteristic edema-like signal
This abnormal signal ... repeated follow-up MRI ... (save $$) Differential ... The physis is normal ... #mri #clinical
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