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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5 results
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 ... diagnosis #hepatology #LiverFunctionTests
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
s a similar case ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD ... #ultrasound #biliary
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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 ... be caused by adenomyomatosis ... Twinkle #Artifact #CBD ... #stone #biliary
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Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... no definitive stones ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... #clinical #biliary
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
Very strong - CBD ... stone on transabdominal ... Strong - Dilated CBD ... Moderate - Abnormal ... Choledocholithiasis #Biliary