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
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Here’s a similar case ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD ... #clinical #ultrasound
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Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... IDA and active IBD ... /other causes β€’
Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Complex Hydronephrosis ... on Renal POCUS ... echo/flat IVC/no abd ... Hydronephrosis #POCUS ... Renal #Ultrasound #Clinical
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Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
) on Abdominal POCUS ... Cirrhosis with fever/abd ... POCUS for win. ... #clinical #ultrasound ... Pneumoperitoneum #Complex
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Algorithm for the Evaluation of CARP Pouchitis and Pouch Disorders - Recurrent Pouchitis on Pouchoscopy &
Algorithm for the ... Evaluation of CARP ... , Floppy Pouch Complex ... Evacuation Disorder ... #diagnosis #IBD
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... out this dancing CBD ... be caused by adenomyomatosis ... Twinkle #Artifact #CBD ... stone #biliary #clinical
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... intrinsic factor, IF) Clinical ... papillae of tongue), abd ... diarrhea related to IBD ... total body stores Evaluation
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Evaluation Guide ... Cardiac: multiple case ... UCSF COVID-19 ID ... UCSF #COVID19 #Evaluation ... Guide #Diagnosis #Algorithm
Limy Bile Syndrome on POCUS

You are performing a POCUS GB exam on elderly woman and notice
Bile Syndrome on POCUS ... are performing a POCUS ... stasis.Rarely known to cause ... cholecystitis or move into CBD ... #clinical #gallbladder