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 Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... IBD Algorithm ... good for SB and colon ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... dilated, but there ... henneberry_ryan #Dilated ... #clinical #ultrasound
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Intestinal Ascariasis on Point of Care Ultrasound (POCUS)

Ultrasound of tubular structure with echogenic walls in dilated
Intestinal Ascariasis ... Care Ultrasound (POCUS ... echogenic walls in dilated ... but it is more common ... #Clinical #Parasite
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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 ... than Intestinal ... Clinically confirmed
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... intrinsic factor, IF) Clinical ... pain, diarrhea related ... to IBD, celiac
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Bile Duct on POCUS ... #Common #BileDuct ... #CBD #POCUS #clinical ... #gallbladder #clinical
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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 ... Duct on POCUS 50 ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound ... #clinical #biliary
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Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Colitis - Management Algorithm ... Nissle β€’ VSL#3: ↑ clinical ... Budesonide-MMX PO (delayed ... delivery to the colon ... #treatment #IBD
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Stone on Biliary POCUS ... Mirizzi syndrome, a common ... CBD is also dilated ... Stone #Biliary #POCUS ... ultrasound #abdominal #clinical
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Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... Common injuries ... Can have intestinal ... : (alluding to intestinal ... Trauma #Injury #clinical
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