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 Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... IDA and active IBD ... despite disease control
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 ... Common #BileDuct #CBD ... #POCUS #clinical
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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 ... #clinical
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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
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 ... than 55 y - Clinical
Emphysematous Cholecystitis on POCUS

RUQ abd pain with fever/hypotension. Diagnosis-emphysematous cholecystitis. Note air within GB lumen. Could
Cholecystitis on POCUS ... RUQ abd pain with ... Cholecystitis #POCUS ... #clinical #gallbladder
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Limy Bile Syndrome on POCUS

You are performing a POCUS GB exam on elderly woman and notice
Bile Syndrome on POCUS ... are performing a POCUS ... cholecystitis or move into CBD ... LimyBile #Syndrome #POCUS ... #clinical #gallbladder