Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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

Hereโ€™s a similar case in a 70yo F with a remote
Common Bile Duct ... , CBD also looks ... around in the CBD ... #BileDuct #CBD ... #clinical #ultrasound
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Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct ... (CBD) on Abdominal ... key to finding CBD ... CommonBileDuct #clinical ... #ultrasound #pocus
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Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... patient with RUQ abd ... mass in distal CBD ... #CBD #POCUS #ultrasound ... #clinical #biliary
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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
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Pancreas/Distal CBD ... distal CBD. ... MULTIPLE stones in CBD ... #CBD #POCUS #clinical
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Common Bile Duct Ascariasis on POCUS

Less common than Intestinal Ascariasis but we do see a lot
Common Bile Duct ... Ascariasis on POCUS ... Less common ... wiggling in the CBD ... #Ascariasis #CBD
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Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 โ€ข Natural phytochemical from turmeric
 โ€ข 2g/day divided in 2-3
Colitis - Management Algorithm ... Nissle โ€ข VSL#3: โ†‘ clinical ... Budesonide-MMX PO (delayed ... delivery to the colon ... #treatment #IBD
Common Bile Duct (CBD) on Abdominal Ultrasound

To find the common bile duct I like stretching out
Common Bile Duct ... (CBD) on Abdominal ... jchristianfox #CBD ... CommonBileDuct #clinical ... #ultrasound #pocus
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 โ€ข Vit B12 - aka cobalamin. Present in foods derived from animal
โ€ข Common Causes ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac
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