Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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Common Bile Duct Stone on POCUS

Hereโ€™s a similar case in a 70yo F with a remote
Hereโ€™s a similar case ... dilated, but there ... henneberry_ryan #Dilated ... #clinical #ultrasound ... #biliary
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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Intestinal Ascariasis on Point of Care Ultrasound (POCUS)

Ultrasound of tubular structure with echogenic walls in dilated
Intestinal Ascariasis ... Care Ultrasound (POCUS ... echogenic walls in dilated ... obstruction (as in this case ... #Clinical #Parasite
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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 ... Clinically confirmed ... #BileDuct #Biliary ... #clinical
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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 ... RJonesSonoEM #Dilated ... #CBD #POCUS #ultrasound ... #clinical #biliary
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 โ€ข Vit B12 - aka cobalamin. Present in foods derived from animal
โ€ข Common Causes ... disorders of small intestine ... intrinsic factor, IF) Clinical ... pain, diarrhea related ... to IBD, celiac
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... transabdominal US - Clinical ... dL Strong - Dilated ... than 55 y - Clinical ... Choledocholithiasis #Biliary
Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
#POCUS Can also ... be caused by adenomyomatosis ... #stone #biliary ... #clinical #ultrasound ... #pocus
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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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Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... in over 80% of cases ... Can have intestinal ... : (alluding to intestinal ... Trauma #Injury #clinical
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