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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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 ... #BileDuct #CBD
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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 ... patient with RUQ abd ... no definitive stones ... mass in distal CBD ... #CBD #POCUS #ultrasound
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Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Differential Diagnosis Algorithm ... (any) β€’ US - Dilated ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Dilated Distal Common ... Pancreas/Distal CBD ... distal CBD. ... in CBD(6+)(Yikes ... #CBD #POCUS #clinical
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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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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
Very strong - CBD ... stone on transabdominal ... dL Strong - Dilated ... CBD on US ( > 6 ... Moderate - Abnormal
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management 

High Risk
 β€’ CBD stone visualized
High Risk β€’ CBD ... stone visualized ... common bile duct ... Medium Risk β€’ Abnormal ... common bile duct
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
Her vitals are normal ... is sent to CT abd ... in over 80% of cases ... Common injuries ... instability, but more common
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Essential Thrombocythemia (ET)
ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... Diagnosis: On the CBC ... are usually near-normal ... thrombocytosis, only other commonly ... β€’ Treatment algorithms