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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diagnosis treatment clinical biliary choledocholithiasis gastroenterology ultrasound abdominal aneurysm aort aortic b12 boweldisease cabcde cholangiocarcinoma cholelithiasis cobalamin colitis color colorectal
Colorectal Dysplasia in IBD - IBD Algorithm When / How to Screen for Dysplasia in IBD New AGA
- IBD Algorithm ... for Dysplasia in IBD ... Colorectal #Dysplasia #IBDAlgorithm ... #IBD #Algorithm ... Gastroenterology #Management
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
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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 Orofacial Granulomatosis - Diagnosis and Management Algorithm Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma Melkersson-Rosenthal
Diagnosis and Management ... Elimination Diet* * • 5-ASA ... manif. of IBD; ... Resolve w Rx of IBD ... Granulomatosis #Diagnosis #Management
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on
ERCP Management ... Very strong - CBD ... dL Strong - Dilated ... CBD on US ( > 6 ... Moderate - Abnormal
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Ulcerative Colitis - Management ... Algorithm Curcumin ... Budesonide-MMX PO (delayed ... #Colitis #UC #Management ... #treatment #IBD
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 ... Deficiency #diagnosis #management
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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 2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management High Risk • CBD stone visualized
Choledocholithiasis and Management ... High Risk • CBD ... bilirubin >4 mg/dL and dilated ... Medium Risk • Abnormal ... Age > 55 or • Dilated
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