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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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound (IUS ... ) in IBD - IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Ruptured AAA on POCUS

Nice pick up with a POCUS RUSH exam in a patient with undifferentiated
POCUS Nice pick ... up with a POCUS ... Excellent find on RUSH protocol ... Leaking AAA is hard ... #POCUS #clinical
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Abdominal Aortic Aneurysm (AAA) on POCUS

Still not sure about intra-arrest POCUS? Here is "just another code."
Aortic Aneurysm (AAA ... Here is "just another ... Thinking now AAA ... Massive transfusion protocol ... #clinical
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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
COVID-19 Adult Clinical ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Fusiform Abdominal Aortic Aneurysm (AAA) on Long Axis POCUS

Just a simple fusiform abdominal aortic aneurysm in
) on Long Axis POCUS ... with color. >3cm is ... . >5cm is associated ... #Long #POCUS #Aorta ... #clinical #ultrasound
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
: β€’ Vit B12 - aka ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... diarrhea related to IBD ... previously dx'd associated
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
arrived w/severe abd ... recurrentis has been associated ... Pediculus humanus, AKA ... cases have been associated ... microscopy #pathology #clinical
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
and PR + PO 5-ASA ... Alternative Dx: IBS ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Limy Bile Syndrome on POCUS

You are performing a POCUS GB exam on elderly woman and notice
Bile Syndrome on POCUS ... What is it? ... Usually associated ... cholecystitis or move into CBD ... #clinical #gallbladder
Thiopurines in IBD
Indications:
 β€’ Steroid-sparing agents indicated for maintenance of remission in UC and CD
 β€’
Thiopurines in IBD ... normal activity: AZA ... of compliance is ... to good clinical ... #Thiopurines #IBD