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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clinical diagnosis ultrasound abnormal amylase artifact cbd choledocholithiasis differential dilatation gallstone hepatology hyperamylasemia lfts liverfunctiontests management mirizzi stone syndrome transaminitis
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 ... Mirizzi #Syndrome #Liver ... #POCUS #Ultrasound
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 Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Elevated Amylase ... Pancreatic causes ... fibrosis - Post ERCP ... Non-pancreatic causes ... sulindac - Active IBID
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... kwburak #LFTs #Elevated
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on
ERCP Management ... Algorithm for Patient ... Moderate - Abnormal liver ... pancreatitis #ERCP ... Choledocholithiasis #Biliary
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 ... , calcified liver ... #stone #biliary ... clinical #ultrasound #pocus
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