Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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10 results
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct (CBD ... key to finding CBD ... the PV is the CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
POCUS Adult ... male-RUQ abd pain.VSS ... hepatic panel with normal ... or CBD that is ... Syndrome #Liver #POCUS
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Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
yo patient with RUQ ... abd pain. ... hepatic panel, normal ... mass in distal CBD ... #CBD #POCUS #ultrasound
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... AST): β€’ US - Normal ... (any) β€’ US - Dilated ... Ducts - CBD ... LFTs #Elevated #Abnormal
Common Bile Duct (CBD) on Abdominal Ultrasound

To find the common bile duct I like stretching out
Common Bile Duct (CBD ... stretching out the portal ... jchristianfox #CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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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
Mesenteric adenitis on Abdominal POCUS

Child with RLQ abd pain, low-grade fever.  
Answer: Mesenteric adenitis
Initial study
adenitis on Abdominal POCUS ... Child with RLQ ... abd pain, low-grade ... Appendix was normal ... adenitis #Abdominal #POCUS
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Mesenteric adenitis on Abdominal POCUS - Color Doppler

Child with RLQ abd pain, low-grade fever.  
Answer:
adenitis on Abdominal POCUS ... Child with RLQ ... abd pain, low-grade ... Appendix was normal ... adenitis #Abdominal #POCUS
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Diverticulitis on POCUS
55 m presents to the ED with LLQ pain...
No PMH, no meds, no prior
Diverticulitis on POCUS ... meds, no prior abd ... entire left side of abd ... not worse with abd ... , LFTs, lipase normal
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Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Binder) β€’ Use POCUS ... fracture β€’ NS/RL ... massive transfusion protocol ... Unilateral fixed and dilated ... shock - ↓HR, ↓BP, Abnormal