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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10 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary
Bronchiectasis: diagnosis and management 

Causes of localized -> diffuse bronchiectasis
Foreign body, Bronchial stenosis (tumor, .. ),
of localized -> diffuse ... fibrosis, primary ciliary ... diagnosis #management #Differential ... #workup #algorithm
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... hepatic panel with normal ... compression of biliary ... Syndrome #Liver #POCUS ... Clinical #Transverse #Biliary
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Algorithm for nodular pattern
The algorithm to distinguish perilymphatic, random and centrilobular nodules is the following:
- Look
Algorithm for nodular ... pattern The algorithm ... either random (miliary ... the nodules are diffuse ... MultipleNodules #Nodules #Differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Pneumonia on Lung POCUS ... POCUS lung exam ... according to Blue Protocol ... Differential Bilat ... , interstitial diffuse
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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
• WBC usually normal ... Platelets usually normal ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... patient with RUQ abd ... hepatic panel, normal ... #POCUS #ultrasound ... #clinical #biliary
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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 ... DCLD #pulmonary #Algorithm ... #Diagnosis #differential
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... Moderate - Abnormal ... ERCP #Management #Algorithm ... Choledocholithiasis #Biliary
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... (30-34ºC) • Infuse ... Normal Saline 1000 ... #Hypothermia #Protocol ... management #treatment #algorithm