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
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
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 ... pancreatitis #ERCP
Mirizzi Syndrome on RUQ POCUS

Adult male-RUQ abd pain.VSS/Afeb. WBC-16.8K. Obstructive pattern on hepatic panel with normal
Adult male-RUQ abd ... MRCP performed. ... biliary tree(can be CHD ... or CBD that is ... Ultrasound #Gallstone #Clinical
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Generalized Weakness - Differential Diagnosis Framework
"l feel weak":
 β€’ Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis
 β€’
Sepsis β€’ Kidneys: CKD ... valves, COPD, ILD ... Rhabdomyolysis, Critical ... Diagnosis #causes #neurology
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
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 ... Common #BileDuct #CBD
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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 depending on clinical ... Rhabdo-myolysis: CK ... #AKI #Workup #Algorithm ... Differential #Diagnosis #nephrology
Dilated Common Bile Duct on POCUS
50's yo patient with RUQ abd pain. Vitals stable/afebrile. Labs: WBC
patient with RUQ abd ... CT scan and MRI/MRCP ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD ... POCUS #ultrasound #clinical
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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
COVID-19 Adult Clinical ... April 10 2020 Clinical ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2