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 clinical gastroenterology treatment ultrasound diagnosis abnormal ascariasis asymptomatic bileduct biliary choledocholithiasis common crohns dilated disease elevated ercp granulomatosis hemodialysis
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
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
Orofacial Granulomatosis - Diagnosis and Management Algorithm Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma Melkersson-Rosenthal
facial paralysis *Differential ... have or develop CD ... oral manif. of IBD ... ; UC>CD • Snail ... Resolve w Rx of IBD
Dilated Distal Common Bile Duct on POCUS Male with RUQ abdominal pain for 2 days. GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... Common #BileDuct #CBD ... #ultrasound #gallbladder
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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 ... Strong - Dilated CBD ... ( > 6 mm with galbladder ... ERCP #Management #Algorithm
Gall Bladder Ascariasis on POCUS We do come across Intestinal and CBD worms every now and then,
Ascariasis on POCUS ... Intestinal and CBD ... #Ascariasis #GallBladder ... #POCUS #ultrasound
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 Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... Transaminitis #Algorithm
Limy Bile Syndrome on POCUS You are performing a POCUS GB exam on elderly woman and notice
Bile Syndrome on POCUS ... are performing a POCUS ... cholecystitis or move into CBD ... LimyBile #Syndrome #POCUS ... #clinical #gallbladder
Management of Pruritus in Patients with Chronic Kidney Disease Pruritus with no primary lesions - differential diagnosis:
primary lesions - differential ... • Baby oil BID ... in emollient* BID ... Pruritus #Treatment #Algorithm ... Management #Nephrology #CKD
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