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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11 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... Here’s a similar case ... dilated, but there ... henneberry_ryan #Dilated
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Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Cystic Duct Stone ... on Biliary POCUS ... Mirizzi syndrome, a common ... CBD is also dilated ... #Biliary #POCUS
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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 ... good for SB and colon ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
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 ... no definitive stones ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound
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Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Bile Duct on POCUS ... Answer: MULTIPLE stones ... #Common #BileDuct ... #CBD #POCUS #clinical
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2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 • CBD stone visualized
High Risk • CBD ... stone visualized ... common bile duct ... Age > 55 or • Dilated ... common bile duct
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... stone on transabdominal ... dL Strong - Dilated ... #Algorithm #Choledocholithiasis
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Ulcerative Colitis - Management ... Budesonide-MMX PO (delayed ... delivery to the colon ... #Colitis #UC #Management ... #treatment #IBD
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 ... Deficiency #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ., familial or dilated ... Management during ... Avoid ARBs • ICD ... are relatively common