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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clinical biliary diagnosis management ultrasound abdominal aneurysm aort aortic b12 cholangiocarcinoma choledocholithiasis cobalamin color complex deficiency doppler ercp hepatology hydronephrosis
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... AST): • US - Normal ... (any) • US - Dilated ... Ducts - CBD ... #Abnormal #Transaminitis
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 ... FF/no AAA.... but ... Hydronephrosis #POCUS
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 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 ... hepatic panel, normal ... mass in distal CBD ... #CBD #POCUS #ultrasound
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 Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
: • Vit B12 - aka ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac ... have spuriously elevated
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 ... Moderate - Abnormal
AAA Rupture on POCUS - Transverse view mid Aorta-with Doppler. Severe mid-abd pain/older female. You see what
AAA Rupture on POCUS ... Severe mid-abd pain ... flap by novice POCUS ... Look again at abnormal ... aneurysm #aort #POCUS
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