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 clinical ultrasound cabcde cholangiocarcinoma cholelithiasis diagnosis elevated ercp gastroenterology hepatology hydronephrosis lfts liverfunctiontests pediatrics primary renal risk survey
Complex Hydronephrosis on Renal POCUS Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
on Renal POCUS ... the RUSH exam - normal ... echo/flat IVC/no abd ... Infected stone. ... Hydronephrosis #POCUS
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 Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) • US - Dilated ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Dilated Common Bile Duct on POCUS 50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... hepatic panel, normal ... no definitive stones ... 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
Very strong - CBD ... stone on transabdominal ... 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 ... stone visualized ... 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
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