Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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18 results
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 ... obstructive pattern on labs ... dilated, but there ... henneberry_ryan #Dilated
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Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
GI Disorders in IBD ... - IBD Algorithm ... correlation of lBS-type ... #IBDAlgorithm # ... IBD #Algorithm #
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Bile Duct on POCUS ... Male with RUQ abdominal ... Labs show elevated ... #POCUS #clinical
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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
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... correction of lab ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Bowel Syndrome (IBS ... IBS is NOT a diagnosis ... Criteria - Recurrent abdominal ... Related to defecation ... Rifaximin- up to 3 courses
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management Algorithm ... associated with abdominal ... Pain relieved/related ... defecation suggests IBS-C ... Constipation #Management #Algorithm
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Dilated Common Bile ... Duct on POCUS 50 ... Labs: WBC 12.4, ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound
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Dilated Fluid-filled Stomach on Gastric POCUS

Abd pain+vomiting+peritonitis -> Massively dilated stomach on #POCUS. NG tube placed
Stomach on Gastric POCUS ... Abd pain+vomiting ... stomach on #POCUS ... #Abdominal #Ultrasound ... clinical #Stomach #POCUS
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac ... neuropathy • Labs