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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clinical ultrasound biliary cbd management choledocholithiasis commonbileduct diagnosis ruq acute aki causes cholangiocarcinoma cholelithiasis complex differential dilatation dilated elevated ercp
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... AST): • US - Normal ... Ducts - CBD ... stone, Biliary ... LFTs #Elevated #Abnormal
Common Bile Duct (CBD) on Abdominal Ultrasound The key to finding CBD is to look anteriorly to
Common Bile Duct (CBD ... key to finding CBD ... the PV is the CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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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 ... the RUSH exam - normal ... echo/flat IVC/no abd ... Infected stone. ... Hydronephrosis #POCUS
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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 ... hepatic panel with normal ... or CBD that is ... Syndrome #Liver #POCUS
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 Dilated Common Bile Duct on POCUS 50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
Common Bile Duct on POCUS ... hepatic panel, normal ... no definitive stones ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD
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 ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis Predictors of choledocholithiasis Very strong - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... stone on transabdominal ... Strong - Dilated CBD ... Moderate - Abnormal
Common Bile Duct (CBD) on Abdominal Ultrasound To find the common bile duct I like stretching out
Common Bile Duct (CBD ... stretching out the portal ... jchristianfox #CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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 Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis Baseline Investigations: full blood count with differential,
Injury - AKI Workup Algorithm ... investigations abnormal ... Rhabdo-myolysis: CK ... #AKI #Workup #Algorithm ... Differential #Diagnosis #nephrology
Pruritus Treatment Algorithm for Hemodialysis Patients Non-PharmacoIogicaI Measures • Use gentle soap e.g. Dove
Pruritus Treatment Algorithm ... Generalized Itchiness Oral ... Pruritus #Treatment #Algorithm ... Uremia #Management #Nephrology ... #CKD
2019 ASGE Update: Cholelithiasis - Risk of Choledocholithiasis and Management High Risk • CBD stone visualized
High Risk • CBD ... stone visualized ... Medium Risk • Abnormal
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