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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ultrasound clinical diagnosis differential cbd bileduct biliary dilated gastroenterology abnormal amylase artifact bariatric bypass choledocholithiasis common complex complications cyst endocrinology
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 ... This time on pocus ... #POCUS #clinical
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 Twinkle Artifact of CBD stone "Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
stone "Twinkle ... stone. ... #POCUS Can also ... be caused by adenomyomatosis ... clinical #ultrasound #pocus
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 Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Elevated Amylase ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID ... - Renal failure
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... cost-effective, real-time ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Differential Diagnosis Algorithm ... Elevated PTH (High ... Tumors: Lung, SCC, renal ... Differential #Diagnosis #Algorithm ... #causes #endocrinology
Complex Hydronephrosis on Renal POCUS Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal ... POCUS Look beyond ... echo/flat IVC/no abd ... Infected stone. ... #Renal #Ultrasound
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 Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... kwburak #LFTs #Elevated ... Transaminitis #Algorithm
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Differential Diagnosis Algorithm ... Mg: GI losses, Renal ... Intact PTH Level Elevated ... sunlight • Other Causes ... #causes
Medullary Nephrocalcinosis on Renal POCUS Female with right flank pain. Diagnosis and cause? Answer: Medullary
Nephrocalcinosis on Renal ... POCUS Female ... Diagnosis and cause ... distal ureteral stone ... Nephrocalcinosis #Renal
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 Dilated Distal Common Bile Duct on POCUS Male with RUQ abdominal pain for 2 days. GB
Common Bile Duct on POCUS ... Labs show elevated ... Answer: MULTIPLE stones ... in CBD(6+)(Yikes ... #POCUS #clinical
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