Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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7 results
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Algorithm β€’ ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
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 ... hepatic panel with normal ... compression of biliary ... or CBD that is ... Syndrome #Liver #POCUS
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... LFTs #Elevated #Abnormal
Asymptomatic Ileitis - IBD Algorithm

 β€’ Found on 0.1-21% of non-diagnostic colonoscopies
 β€’ Low likelihood of
Asymptomatic Ileitis - IBD ... Algorithm β€’ ... Asymptomatic #Ileitis #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... Strong - Dilated CBD ... Moderate - Abnormal ... #Biliary
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... hepatic panel, normal ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... #clinical #biliary
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Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Schema for the Management ... Pruritus in Primary Biliary ... Recirculating System; CBD ... Pruritus #Primary #Biliary ... #Hepatology #Algorithm