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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ultrasound cbd diagnosis ruq commonbileduct dilated management abnormal artery b12 bileduct biliary calcifications cardiology cardiomyopathy cholangiocarcinoma cobalamin colon deficiency diverticulitis
Common Bile Duct (CBD) on Abdominal Ultrasound The key to finding CBD is to look anteriorly to
Common Bile Duct ... stretched out portal ... CommonBileDuct #clinical ... #ultrasound #pocus ... #normal #RUQ
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 Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Tests - Differential ... Diagnosis Algorithm ... AST): • US - Normal ... Ducts - CBD ... kwburak #LFTs #Elevated
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... good for SB and colon ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... have spuriously elevated ... low levels - Elevated
Common Bile Duct (CBD) on Abdominal Ultrasound To find the common bile duct I like stretching out
Common Bile Duct ... To find the common ... CommonBileDuct #clinical ... #ultrasound #pocus ... #normal #RUQ
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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 ... Labs show elevated ... #POCUS #clinical ... #gallbladder #clinical
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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 ... Duct on POCUS 50 ... hepatic panel, normal ... #POCUS #ultrasound ... #clinical #biliary
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 Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Clinical • Under-recognized ... sx overlap with normal ... Avoid ARBs • ICD ... are relatively common
Diverticulitis on POCUS 55 m presents to the ED with LLQ pain... No PMH, no meds, no prior
Diverticulitis on POCUS ... , LFTs, lipase normal ... prot, no WBCs POCUS ... Diverticulitis #POCUS ... #clinical #ultrasound
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 Hepatic Artery Calcifications on POCUS Elderly male with abd pain/low BP. POCUS Liver TRV shown. Diagnosis? Linear intrahepatic
Calcifications on POCUS ... Elderly male with abd ... POCUS Liver TRV ... considered within differential ... #clinical #ultrasound
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