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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Functional GI Disorders in IBD - IBD Algorithm

Background:
 β€’ 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... Gastrointestinal #Disorders #IBS ... #IBDAlgorithm # ... IBD #Algorithm #
Asymptomatic Ileitis - IBD Algorithm

 β€’ Found on 0.1-21% of non-diagnostic colonoscopies
 β€’ Low likelihood of
Asymptomatic Ileitis ... - IBD Algorithm ... @wabillin #Asymptomatic ... #Ileitis #IBDAlgorithm ... #IBD #Algorithm
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
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
to multi-focal biliary ... have concomitant IBD ... patients with PSC are asymptomatic ... COLITIS - PSC-IBD ... colorectal and hepato-biliary
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... is an ultrasound ... circulatory shock is ... #Shock #Algorithm
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... This time on pocus ... dilated, but there is ... Choledocholithiasis #POCUS ... clinical #ultrasound #biliary
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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
Syndrome on RUQ POCUS ... compression of biliary ... that is compressed ... Syndrome #Liver #POCUS ... Clinical #Transverse #Biliary
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... ALT or AST): β€’ US ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Evaluation and Management of Hyperkalemia

As with hypokalemia, the immediate danger of hyperkalemia is its effect on
of hyperkalemia is ... its effect on cardiac ... efforts should focus ... often asymptomatic ... Hyperkalemia #Evaluation #Algorithm
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... for Patient with Symptomatic ... transabdominal US ... ERCP #Management #Algorithm ... Choledocholithiasis #Biliary