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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17 results
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm β€’ ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
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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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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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
Dilated Distal Common Bile Duct on POCUS

Male with RUQ abdominal pain for 2 days.  GB
Pancreas/Distal CBD ... dilated distal CBD ... MULTIPLE stones in CBD ... #BileDuct #CBD ... #ultrasound #gallbladder
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Asymptomatic Ileitis - IBD Algorithm

 β€’ Found on 0.1-21% of non-diagnostic colonoscopies
 β€’ Low likelihood of
Asymptomatic Ileitis - IBD ... Algorithm β€’ ... of representing CD ... Asymptomatic #Ileitis #IBDAlgorithm ... #IBD #Algorithm
Gall Bladder Ascariasis on POCUS
We do come across Intestinal and CBD worms every now and then,
Ascariasis on POCUS ... Intestinal and CBD ... #Ascariasis #GallBladder ... #POCUS #ultrasound
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Common Bile Duct Ascariasis on POCUS

Less common than Intestinal Ascariasis but we do see a lot
Common Bile Duct ... Ascariasis on POCUS ... Less common ... wiggling in the CBD ... #Ascariasis #CBD
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Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 β€’ Use gentle soap e.g. Dove
Pruritus Treatment Algorithm ... cream (NOT lotion) BID ... Pruritus #Treatment #Algorithm ... Uremia #Management #Nephrology ... #CKD
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 ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... #POCUS #ultrasound
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