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 biliary clinical diagnosis cabcde cholangiocarcinoma choledocholithiasis cystic dcld differential disease elevated ercp handlebar hepatology hypothermia injury lfts liverfunctiontests lung
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 ... LFTs #Elevated #Abnormal
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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 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
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD) Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... smooth cysts with normal ... presentations - ILD ... , trauma, metastatic ... neoplasm, smoking related
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
Pediatric Trauma ... Binder) • Use POCUS ... massive transfusion protocol ... Unilateral fixed and dilated ... shock - ↓HR, ↓BP, Abnormal
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Hypothermia - Protocol ... POCT Glucose • CBC ... Normal Saline 1000 ... bladder lavage (use Normal ... management #treatment #algorithm
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
Her vitals are normal ... period w/ re-exams (normal ... is sent to CT abd ... abdominal injuries related ... missed and/or delayed
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