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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12 results
Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD
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Common Bile Duct (CBD) on Abdominal Ultrasound

The key to finding CBD is to look anteriorly to
Common Bile Duct ... (CBD) on Abdominal ... key to finding CBD ... the PV is the CBD ... clinical #ultrasound #pocus
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm ... #diagnosis #hepatology
Cystic Duct Stone on Biliary POCUS

Not your average gall stone. This stone is lodged in the
Cystic Duct Stone ... on Biliary POCUS ... Mirizzi syndrome, a common ... CBD is also dilated ... #Biliary #POCUS
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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 ... hepatic panel, normal ... no definitive stones ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD
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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... good for SB and colon ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Common Bile Duct (CBD) on Abdominal Ultrasound

To find the common bile duct I like stretching out
Common Bile Duct ... (CBD) on Abdominal ... jchristianfox #CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... Answer: MULTIPLE stones ... in CBD(6+)(Yikes ... #BileDuct #CBD
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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 ... stone on transabdominal ... Strong - Dilated CBD ... Moderate - Abnormal
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 • CBD stone visualized
High Risk • CBD ... stone visualized ... dL and dilated common ... Medium Risk • Abnormal ... or • Dilated common