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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14 results
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct ... stretched out portal ... CommonBileDuct #clinical ... #ultrasound #pocus ... #normal #RUQ
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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 Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... good for SB and colon ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
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 ... hepatic panel, normal ... #CBD #POCUS #ultrasound ... #clinical #biliary
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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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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
β€’ WBC usually normal ... Platelets usually normal ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Common Bile Duct (CBD) on Abdominal Ultrasound

To find the common bile duct I like stretching out
Common Bile Duct ... To find the common ... CommonBileDuct #clinical ... #ultrasound #pocus ... #normal #RUQ
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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
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... intrinsic factor, IF) Clinical ... pain, diarrhea related ... to IBD, celiac ... Treatment: β€’ Oral
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... transabdominal US - Clinical ... dL Strong - Dilated ... Moderate - Abnormal ... than 55 y - Clinical