Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
of HIV, IBD in ... HIV - IBD Algorithm ... HIV + IBD Treatment ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
, CBD also looks ... dilated, but there ... around in the CBD ... #BileDuct #CBD ... clinical #ultrasound #biliary
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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Duct on POCUS 50 ... patient with RUQ abd ... mass in distal CBD ... #CBD #POCUS #ultrasound ... #clinical #biliary
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Common Bile Duct Ascariasis on POCUS

Less common than Intestinal Ascariasis but we do see a lot
Ascariasis on POCUS ... Less common than Intestinal ... wiggling in the CBD ... #Ascariasis #CBD ... #BileDuct #Biliary
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) β€’ US - Dilated ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
disorders of small intestine ... papillae of tongue), abd ... pain, diarrhea related ... to IBD, celiac ... total body stores Evaluation
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... dL Strong - Dilated ... CBD on US ( > 6 ... Choledocholithiasis #Biliary
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 ... CysticDuct #Stone #Biliary ... #POCUS #ultrasound
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Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... Can have intestinal ... : (alluding to intestinal ... missed and/or delayed ... consultation, evaluation
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