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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Common Bile Duct Stone on POCUS

Here’s a similar case in a 70yo F with a remote
Common Bile Duct Stone ... on POCUS Here’ ... s a similar case ... This time on pocus ... #POCUS #clinical
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Complex Hydronephrosis on Renal POCUS

Look beyond the RUSH exam - normal echo/flat IVC/no abd FF/no AAA....
Hydronephrosis on Renal POCUS ... echo/flat IVC/no abd ... AAA.... but left kidney ... Infected stone. ... Renal #Ultrasound #Clinical
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Twinkle Artifact of CBD stone
"Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
stone. ... #POCUS Can also ... be caused by adenomyomatosis ... #clinical #ultrasound ... #pocus
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Causes of Iron Deficiency - Differential Diagnosis Algorithm
 • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... hepcidin: Chronic kidney
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... Receptor (sTfR) to differentiate ... /other causes • ... #Algorithm #diagnosis
Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
Acute Kidney Injury ... - AKI Workup Algorithm ... osmolarity If cause ... investigations depending on clinical ... #AKI #Workup #Algorithm
Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 •
Generalized Weakness - Differential ... Bacteremia, Sepsis • Kidneys ... valves, COPD, ILD ... Rhabdomyolysis, Critical ... #Diagnosis #causes
Renal Abscess on POCUS
Left flank pain. On ABX Day 5 for pyelo. She has hx of
Renal Abscess on POCUS ... has hx of renal stones ... Differential would ... Renal #Abscess #kidney ... #POCUS #clinical
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Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
(N/V bloating, abd ... Stones: • Gastric ... bypass causes increased ... oxalate in the kidney ... gastroenterology #diagnosis #differential
Peripelvic Cyst on Renal POCUS
60s f admitted with acute pyelonephritis, CT scan reveals no hydronephrosis/stone/abscess, continues
hydronephrosis/stone ... collecting system stone ... , with clinical ... cysts may be a cause ... #kidney #clinical
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