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
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... s a similar case ... This time on pocus ... #ultrasound #biliary
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Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
stone. ... #POCUS Can also ... be caused by adenomyomatosis ... #stone #biliary ... clinical #ultrasound #pocus
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... stone on transabdominal ... pancreatitis #ERCP ... Choledocholithiasis #Biliary
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Diagnosis Algorithm ... Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... sulindac - Active IBID
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... no definitive stones ... CT scan and MRI/MRCP ... #POCUS #ultrasound ... #clinical #biliary
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Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
(N/V bloating, abd ... Gastric bypass causes ... and forms renal stones ... risk is low β€’ ERCP ... gastroenterology #diagnosis #differential