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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
Intestinal Manifestations ... HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... IBD Algorithm ... good for SB and colon ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #High
An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
spectrum, based on clinical ... #Diagnosis #POCUS ... #Evaluation #Protocol ... #Algorithm #Low
Intestinal Ascariasis on Point of Care Ultrasound (POCUS)

Ultrasound of tubular structure with echogenic walls in dilated
Intestinal Ascariasis ... Care Ultrasound (POCUS ... but it is more common ... rick_devpriyo #Intestinal ... #Clinical #Parasite
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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 ... than Intestinal ... Clinically confirmed
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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 ... CommonBileDuct #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 ... This time on pocus ... Choledocholithiasis #POCUS ... #clinical #ultrasound
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... bariatric, gastric, intestinal
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Colitis - Management Algorithm ... Nissle β€’ VSL#3: ↑ clinical ... delivery to the colon ... 5-ASA brands Algorithm ... #treatment #IBD