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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10 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... This time on pocus ... dilated, but there ... henneberry_ryan #Dilated ... clinical #ultrasound #biliary
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) • US - Dilated ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... hepatic panel with normal ... compression of biliary ... Syndrome #Liver #POCUS ... Clinical #Transverse #Biliary
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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 ... hepatic panel, normal ... #CBD #POCUS #ultrasound ... #clinical #biliary
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... dL Strong - Dilated ... Moderate - Abnormal ... ERCP #Management #Algorithm ... Choledocholithiasis #Biliary
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
• WBC usually normal ... Platelets usually normal ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... smooth cysts with normal ... presentations - ILD ... neoplasm, smoking related ... DCLD #pulmonary #Algorithm
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Duct Stone on Biliary ... POCUS Not your ... CBD is also dilated ... CysticDuct #Stone #Biliary ... #POCUS #ultrasound
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Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
Binder) • Use POCUS ... massive transfusion protocol ... Unilateral fixed and dilated ... shock - ↓HR, ↓BP, Abnormal
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... (30-34ºC) • Infuse ... Normal Saline 1000 ... #Hypothermia #Protocol ... management #treatment #algorithm