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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8 results
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Hepatocellular Pattern ... Ducts - CBD ... stone, Biliary
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 ... Obstructive pattern ... compression of biliary ... or CBD that is ... Syndrome #Liver #POCUS
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Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
an obstructive pattern ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD ... clinical #ultrasound #biliary
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Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns
Nuclear Patterns:
 β€’ Homogeneous pattern: 
   -
and Cytoplasmic Patterns ... Nuclear Patterns ... - SLE, SjS, CTD-ILD ... #differential # ... diagnosis #rheumatology
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... 12.4, obstructive pattern ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... #clinical #biliary
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Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Pruritus in Primary Biliary ... Recirculating System; CBD ... Pruritus #Primary #Biliary ... PBC #Management #Hepatology ... #Algorithm
Antinuclear Antibody Testing Cytoplasmic Patterns
Reticular/AMA: 
 β€’ PBC, SSc, PBC/SSc OS, PBC/SjS OS
 β€’ AMA
Speckled:
 β€’
Testing Cytoplasmic Patterns ... : β€’ SLE, SjS, CTD-ILD ... #Cytoplasmic #Patterns ... #differential # ... diagnosis #rheumatology
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
primary lesions - differential ... pruritus β€’ Hematologic ... β€’ Baby oil BID ... Pruritus #Treatment #Algorithm ... Management #Nephrology #CKD