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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biliary clinical ultrasound management cbd diagnosis abdominal artifact cholangiocarcinoma choledocholithiasis crohns cysticduct dilatation dilated disease elevated ercp gallstone gastroenterology granulomatosis
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Algorithm • ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management #treatment
Twinkle Artifact of CBD stone "Twinkle artifact" isn't exclusive to urinary stones. Check out this dancing CBD
Twinkle Artifact of CBD ... out this dancing CBD ... #POCUS Can also ... Twinkle #Artifact #CBD ... clinical #ultrasound #pocus
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 Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... LFTs #Elevated #Abnormal
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 ... be CHD or CBD that ... Syndrome #Liver #POCUS
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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 ... can lead to Mirizzi ... CBD is also dilated ... #Biliary #POCUS
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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 ... GPA, Syphilis, Cat-Scratch ... oral manif. of IBD ... Resolve w Rx of IBD ... #treatment
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
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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