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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17 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Here’s a similar case ... , CBD also looks ... around in the CBD ... Dilated #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
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... IDA and active IBD ... /other causes •
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Sepsis • Kidneys: CKD ... valves, COPD, ILD ... Myopathy: Drugs (statin ... Rhabdomyolysis, Critical ... Differential #Diagnosis #causes
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... Common #BileDuct #CBD ... #POCUS #clinical
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Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... POCUS lung exam ... States has bilat ... according to Blue Protocol ... #clinical #ultrasound
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Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... out this dancing CBD ... be caused by adenomyomatosis ... Twinkle #Artifact #CBD ... stone #biliary #clinical
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... diarrhea related to IBD ... malabsorptive state
Limy Bile Syndrome on POCUS

You are performing a POCUS GB exam on elderly woman and notice
Bile Syndrome on POCUS ... stasis.Rarely known to cause ... cholecystitis or move into CBD ... twitter.com/RJonesSonoEM/status ... #clinical #gallbladder
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
COVID-19 Adult Clinical ... Cardiac: multiple case ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2