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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management treatment pruritus clinical gastroenterology hemodialysis hepatology pocus ultrasound uremia uremic asymptomatic cholangiocarcinoma cholangitis choledocholithiasis crohns diagnosis dilatation dilated disease
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 ... hepatic panel with normal ... compression of biliary ... tree(can be CHD ... or CBD that is
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 Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Asymptomatic Ileitis - IBD Algorithm • Found on 0.1-21% of non-diagnostic colonoscopies • Low likelihood of
Asymptomatic Ileitis - IBD ... of representing CD ... progresses to CD ... Asymptomatic #Ileitis #IBDAlgorithm ... #IBD #Algorithm
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... LFTs #Elevated #Abnormal
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... Strong - Dilated CBD ... Moderate - Abnormal ... Choledocholithiasis #Biliary
Dilated Common Bile Duct on POCUS 50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... hepatic panel, normal ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... ultrasound #clinical #biliary
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 Pruritus Treatment Algorithm for Hemodialysis Patients Non-PharmacoIogicaI Measures • Use gentle soap e.g. Dove
Pruritus Treatment Algorithm ... cream (NOT lotion) BID ... Pruritus #Treatment #Algorithm ... Uremia #Management #Nephrology ... #CKD
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). Cholestyramine up to 4g
Pruritus in Primary Biliary ... Recirculating System; CBD ... Pruritus #Primary #Biliary ... Management #Hepatology #Algorithm
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Hypothermia - Protocol ... POCT Glucose • CBC ... , alb, Lipase, CK ... #Hypothermia #Protocol ... management #treatment #algorithm
Management of Pruritus in Patients with Chronic Kidney Disease Pruritus with no primary lesions - differential diagnosis:
• Baby oil BID ... in emollient* BID ... Pruritus #Treatment #Algorithm ... Uremia #Management #Nephrology ... #CKD
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