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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15 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
, CBD also looks ... dilated, but there ... around in the CBD ... #BileDuct #CBD ... #clinical #ultrasound
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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
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Complex Hydronephrosis ... on Renal POCUS ... echo/flat IVC/no abd ... Hydronephrosis #POCUS ... Renal #Ultrasound #Clinical
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Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Duct on POCUS 50 ... patient with RUQ abd ... mass in distal CBD ... #CBD #POCUS #ultrasound ... #clinical #biliary
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Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever/abd ... POCUS for win. ... #clinical #ultrasound ... Pneumoperitoneum #Complex
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Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... distal CBD. ... MULTIPLE stones in CBD ... Common #BileDuct #CBD ... #POCUS #clinical
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Algorithm for the Evaluation of CARP Pouchitis and Pouch Disorders - Recurrent Pouchitis on Pouchoscopy &
Algorithm for the ... Evaluation of CARP ... , Floppy Pouch Complex ... Evacuation Disorder ... #diagnosis #IBD
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac ... total body stores Evaluation
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... dL Strong - Dilated ... CBD on US ( > 6 ... than 55 y - Clinical
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Colitis - Management Algorithm ... Nissle • VSL#3: ↑ clinical ... Budesonide-MMX PO (delayed ... 5-ASA brands Algorithm ... #treatment #IBD