Dr. Gerald Diaz @GeraldMD
50.3M 14.4K 7.6K
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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10 results
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Algorithm β€’ ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management #treatment
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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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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Common Bile Duct (CBD) on Abdominal Ultrasound

To find the common bile duct I like stretching out
Common Bile Duct ... (CBD) on Abdominal ... jchristianfox #CBD ... clinical #ultrasound #pocus ... #normal #RUQ
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Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
and Management Algorithm ... manif. of IBD; ... Resolve w Rx of IBD ... Algorithm by Dr ... #treatment
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 ... hepatic panel, normal ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD
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Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 β€’ Use gentle soap e.g. Dove
Pruritus Treatment ... Algorithm for Hemodialysis ... Generalized Itchiness Oral ... #Pruritus #Treatment ... Management #Nephrology #CKD
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... Very strong - CBD ... Strong - Dilated CBD ... ( > 6 mm with galbladder ... Moderate - Abnormal
Thiopurines in IBD
Indications:
 β€’ Steroid-sparing agents indicated for maintenance of remission in UC and CD
 β€’
Thiopurines in IBD ... remission in UC and CD ... Homozygous high or normal ... #Thiopurines #IBD ... BowelDisease #Management #Treatment