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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
of HIV, IBD in ... HIV - IBD Algorithm ... HIV + IBD Treatment ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
Functional GI Disorders in IBD - IBD Algorithm

Background:
 β€’ 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... Gastrointestinal #Disorders #IBS ... #IBDAlgorithm # ... IBD #Algorithm #
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Adult male-RUQ abd ... compression of biliary ... or CBD that is ... Ultrasound #Gallstone #Clinical ... #Transverse #Biliary
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Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
time on pocus, CBD ... around in the CBD ... Dilated #BileDuct #CBD ... Choledocholithiasis #POCUS #clinical ... #ultrasound #biliary
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Common Bile Duct Ascariasis on POCUS

Less common than Intestinal Ascariasis but we do see a lot
Less common than Intestinal ... wiggling in the CBD ... Clinically confirmed ... #Ascariasis #CBD ... #BileDuct #Biliary
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... ALT or AST): β€’ US ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... remain subject to clinical
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
disorders of small intestine ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... diarrhea related to IBD ... bariatric, gastric, intestinal
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... - Clinical Ascending ... Strong - Dilated CBD ... Choledocholithiasis #Biliary