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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biliary choledocholithiasis diagnosis cabcde cholangiocarcinoma cholelithiasis clinical elevated ercp essential et gastroenterology hematology hepatology hypothermia lfts liverfunctiontests pediatrics primary risk
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 ... Very strong - CBD ... dL Strong - Dilated ... CBD on US ( > 6 ... Moderate - Abnormal
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
Pediatric Trauma Primary Survey: C-ABCDE C - Catastrophic Bleeding - Life-threatening hemorrhage • Apply direct pressure/compression bandage
Binder) • Use POCUS ... massive transfusion protocol ... Unilateral fixed and dilated ... shock - ↓HR, ↓BP, Abnormal ... Survey #CABCDE #management
Hypothermia - Protocol for ED CORE TEMP < 34º INITIAL THERAPY • Remove wet garments • Avoid rough
Hypothermia - Protocol ... 34ºC) • Infuse Normal ... bladder lavage (use Normal ... #management #treatment ... #algorithm
Essential Thrombocythemia (ET) ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... Diagnosis: On the CBC ... are usually near-normal ... • Treatment algorithms ... hematology #diagnosis #management
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