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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11 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
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Algorithm for Patient ... Very strong - CBD ... Strong - Dilated CBD ... ( > 6 mm with galbladder
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 ... ERCP/cholecystectomy ... #ultrasound #gallbladder
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Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Syndrome on RUQ POCUS ... Adult male-RUQ abd ... MRCP performed. ... or CBD that is ... Syndrome #Liver #POCUS
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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
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
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... CT scan and MRI/MRCP ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... #POCUS #ultrasound
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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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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
Limy Bile Syndrome on POCUS

You are performing a POCUS GB exam on elderly woman and notice
Bile Syndrome on POCUS ... are performing a POCUS ... cholecystitis or move into CBD ... LimyBile #Syndrome #POCUS ... #clinical #gallbladder