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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7 results
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 ... MRCP performed. ... compression of biliary ... Ultrasound #Gallstone #Clinical ... #Transverse #Biliary
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Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... obstruction - Drugs: 5-ASA ... sulindac - Active IBID
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... Here’s a similar case ... This time on pocus ... #clinical #ultrasound ... #biliary
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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 ... than 55 y - Clinical ... pancreatitis #ERCP ... Choledocholithiasis #Biliary
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 ... CT scan and MRI/MRCP ... #POCUS #ultrasound ... #clinical #biliary
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Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
#POCUS Can also ... be caused by adenomyomatosis ... #stone #biliary ... #clinical #ultrasound ... #pocus
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Giant AAA on POCUS

Elderly pt with abd/back pain. Stable. Has pulsatile mass on exam spans 12
Giant AAA on POCUS ... Elderly pt with abd ... Article has case ... #Giant #POCUS # ... clinical #ultrasound
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