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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ultrasound biliary abdominal management diagnosis stone bileduct choledocholithiasis gallbladder aaa abscess aneurysm artifact b12 cholangiocarcinoma cobalamin colitis common coronavirus covid19
Common Bile Duct Stone on POCUS Here’s a similar case in a 70yo F with a remote
Here’s a similar case ... , CBD also looks ... around in the CBD ... #BileDuct #CBD ... #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 ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... IDA and active IBD ... /other causes •
Dilated Common Bile Duct on POCUS 50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Duct on POCUS 50 ... patient with RUQ abd ... mass in distal CBD ... #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
Pancreas/Distal CBD ... distal CBD. ... MULTIPLE stones in CBD ... Common #BileDuct #CBD ... #POCUS #clinical
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 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
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac
Twinkle Artifact of CBD stone "Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... out this dancing CBD ... be caused by adenomyomatosis ... Twinkle #Artifact #CBD ... stone #biliary #clinical
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 Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Colitis - Management Algorithm ... Nissle • VSL#3: ↑ clinical ... Budesonide-MMX PO (delayed ... 5-ASA brands Algorithm ... #treatment #IBD
Dilated Fluid-filled Stomach on Gastric POCUS Abd pain+vomiting+peritonitis -> Massively dilated stomach on #POCUS. NG tube placed
Stomach on Gastric POCUS ... Abd pain+vomiting ... stomach on #POCUS ... Abdominal #Ultrasound #clinical ... #Stomach #POCUS
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