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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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... AST): β€’ US - Normal ... (any) β€’ US - Dilated ... Ducts - CBD ... LFTs #Elevated #Abnormal
Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct (CBD ... key to finding CBD ... the PV is the CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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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 ... mass in distal CBD ... #CBD #POCUS #ultrasound
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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 ... Adult male-RUQ abd ... hepatic panel with normal ... or CBD that is ... Syndrome #Liver #POCUS
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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 ... Moderate - Abnormal
Common Bile Duct (CBD) on Abdominal Ultrasound

To find the common bile duct I like stretching out
Common Bile Duct (CBD ... stretching out the portal ... jchristianfox #CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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Inherited Qualitative Platelet Defects
Bernard-Soulier Syndrome
 β€’ Defect of adhesion due to a lack of GP Ib/IX/V
to a lack of GP Ib ... receptor] β€’ Normal ... on smear MYH9-Related ... differential #diagnosis #hematology
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 β€’ CBD stone visualized
High Risk β€’ CBD ... bilirubin >4 mg/dL and dilated ... Medium Risk β€’ Abnormal ... Age > 55 or β€’ Dilated
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... smooth cysts with normal ... presentations - ILD ... neoplasm, smoking related ... DCLD #pulmonary #Algorithm
Essential Thrombocythemia (ET)
ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... are usually near-normal ... β€’ Treatment algorithms ... Thrombocythemia #ET #hematology ... diagnosis #management #hematology