Dr. Gerald Diaz @GeraldMD
50.4M 14.4K 7.6K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Common Bile Duct Stone on POCUS

Hereโ€™s a similar case in a 70yo F with a remote
s a similar case ... , CBD also looks ... dilated, but there ... around in the CBD ... #BileDuct #CBD
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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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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... (any) โ€ข US - Dilated ... Ducts - CBD ... stone, Biliary
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
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
Her vitals are normal ... is sent to CT abd ... in over 80% of cases ... missed and/or delayed ... consultation, evaluation
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