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
Here’s a similar case ... dilated, but there ... henneberry_ryan #Dilated ... #clinical #ultrasound ... #biliary
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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 • ... #Algorithm #diagnosis ... #management
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 ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound ... #clinical #biliary
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... dL Strong - Dilated ... than 55 y - Clinical ... #Biliary
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 • Natural phytochemical from turmeric
 • 2g/day divided in 2-3
Ulcerative Colitis - Management ... Nissle • VSL#3: ↑ clinical ... Budesonide-MMX PO (delayed ... #Colitis #UC #Management ... #treatment #IBD
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 ... #stone #biliary ... #clinical #ultrasound ... #pocus
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Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Duct Stone on Biliary ... POCUS Not your ... CBD is also dilated ... #POCUS #ultrasound ... #abdominal #clinical
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Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
Management of patients ... Official ATS/STS/STR Clinical ... catheter (IPC)–related ... Effusions #MPE #Algorithm ... #Management #ATS
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... 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 ... Clinical • Under-recognized ... Avoid ARBs • ICD ... support for patients clinically