Dr. Gerald Diaz @GeraldMD
50.0M 14.4K 7.6K
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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8 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
on POCUS Here’ ... s a similar case ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD
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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 ... #POCUS Can also ... be caused by adenomyomatosis ... Twinkle #Artifact #CBD
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... LFTs #Elevated #Abnormal ... Transaminitis #Algorithm
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... the RUSH exam - normal ... echo/flat IVC/no abd ... Infected stone. ... Hydronephrosis #POCUS
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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
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 ... no definitive stones ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD
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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 ... stone on transabdominal ... Strong - Dilated CBD ... Moderate - Abnormal
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Cardiac: multiple case ... • WBC usually normal ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2