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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9 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Duct Stone on POCUS ... dilated, but there ... henneberry_ryan #Dilated ... #clinical #ultrasound ... #biliary
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... AST): • US - Normal ... (any) • US - Dilated ... Ducts - CBD ... stone, Biliary
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 ... hepatic panel, normal ... #CBD #POCUS #ultrasound ... #clinical #biliary
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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 ... hepatic panel with normal ... compression of biliary ... Ultrasound #Gallstone #Clinical ... #Transverse #Biliary
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ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... dL Strong - Dilated ... Moderate - Abnormal ... than 55 y - Clinical ... Choledocholithiasis #Biliary
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
Evaluation Guide ... • WBC usually normal ... Platelets usually normal ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
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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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... pain, diarrhea related ... to IBD, celiac ... total body stores Evaluation ... Treatment: • Oral
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
Her vitals are normal ... period w/ re-exams (normal ... is sent to CT abd ... consultation, evaluation ... Trauma #Injury #clinical
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