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 management biliary diagnosis bileduct ascariasis dilated ruq abdominal cholangitis choledocholithiasis colitis colon commonbileduct crohns disease hepatology normal primary
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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 Common Bile Duct Stone on POCUS Here’s a similar case in a 70yo F with a remote
Common Bile Duct ... Stone on POCUS ... , CBD also looks ... around in the CBD ... Dilated #BileDuct #CBD
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 Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... despite disease control ... fatigue w/ active IBD
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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 The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... COLITIS - PSC-IBD ... distinct from IBD ... carcinoma, and gallbladder ... focuses on symptom control
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 ... patient with RUQ abd ... mass in distal CBD ... RJonesSonoEM #Dilated #CBD
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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 ... Ultrasound #IUS #IBD ... #POCUS #gastroenterology
Gall Bladder Ascariasis on POCUS We do come across Intestinal and CBD worms every now and then,
Ascariasis on POCUS ... Intestinal and CBD ... #Ascariasis #GallBladder ... #POCUS #ultrasound
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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 ... wiggling in the CBD ... #Ascariasis #CBD
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 What is the difference between ischemic colitis and mesenteric ischemia? A common misnomer. Mesenteric ischemia and ischemic
A common misnomer ... initial treatment algorithms ... Sudden onset • Abd ... onset • Moderate abd
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