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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79 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 ... dilated, but there ... henneberry_ryan #Dilated ... #clinical #ultrasound
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Internal Jugular Vein Rouleaux Flow on POCUS

Amazing video of a dilated IJV showing Rouleaux flow. Whenever
Rouleaux Flow on POCUS ... Amazing video of a dilated ... for underlying cause ... Jugular #IJ #Vein #POCUS ... #vascular #clinical
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POCUS diagnosis of acute appendicitis:
(1) Blind-ended
(2) Target shaped tubular structure
(3) Originating from the cecum
(4) Non-compressible
(5) Non-peristalsing
POCUS diagnosis ... Non-peristalsing (6) Dilated ... #Appendicitis #Abdominal ... #Appendix #Clinical ... #POCUS
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Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Peritonitis (SBP) on Abdominal ... with fever/abd ... POCUS for win. ... Peritonitis #SBP #Abdominal ... #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
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
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct (CBD ... ) on Abdominal Ultrasound ... key to finding CBD ... CommonBileDuct #clinical ... #ultrasound #pocus
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Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis
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
IUD and Pregnancy on Pelvic Ultrasound
Early gestational sac seen on trans-abdominal, transverse view.  However, is
IUD and Pregnancy ... seen on trans-abdominal ... henneberry_ryan #IUD ... Pelvic #Ultrasound #POCUS ... #clinical #obstetrics
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