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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32 results
UVJ Stone on Bladder Ultrasound

Bladder TRV clip shows right distal UVJ stone with twinkle artifact with
UVJ Stone on Bladder ... Ultrasound Bladder ... with decreased urine ... Strong left urine ... #Ultrasound #Ureteral
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Pneumonia with irregular step ladder or "shred sign" on Lung Ultrasound (POCUS)

Dr. J. Christian Fox @jchristianfox

#Pneumonia
irregular step ladder ... or "shred sign" ... on Lung Ultrasound ... clinical #pocus #ultrasound
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Acute Kidney Injury - AKI Workup Algorithm and Differential Diagnosis
Baseline Investigations: full blood count with differential,
differential, urine ... dipstick, urine ... clinical context and signs ... Myeloma: serum / urine ... blood culture, urine
Emphysematous Cystitis
Epidemiology:
 • Usually middle-aged diabetic women
 • Other RF: neurogenic bladder, urinary tract outlet obstruction,
RF: neurogenic bladder ... compromise Clinical Signs ... be present or signs ... KUB or abdominal ultrasound ... present • UA and Urine
Causes of Polyuria - Differential Diagnosis
Excess Intake of Water:
 • Primary polydipsia (a.k.a. "psychogenic polydipsia")
 •
Polyuria Mimics (↑ urine ... frequency without ↑ urine ... "overactive bladder ... Diagnosis #Causes #nephrology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 • Bacterial: Escherichia
native kidney), Bladder ... kidney #blood #urine ... management #treatment #nephrology
Pseudobladder of large Ovarian Cyst in Torsion on POCUS - Sagittal View

Young female with sudden pelvic
Is the urinary bladder ... ovarian cyst as bladder ... or the double bladder ... sign in or female ... POCUS #clinical #ultrasound
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NINDS Diagnostic Criteria for Guillain Barre Syndrome 
Features Required for Guillain-Barré Syndrome:
 • Progressive muscle weakness
sensory symptoms or signs ... • Persistent bladder ... dysfunction, Severe bladder ... nervous system signs ... diagnosis #criteria #neurology
Twinkle Sign - Bladder Stone on Doppler Ultrasound

Obstructive uropathy is evidenced on POCUS by hydronephrosis, but
Twinkle Sign - Bladder ... Stone on Doppler Ultrasound ... signal ("twinkle sign ... This occurs when ultrasound ... #Bladder #Stone
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Double Bladder Sign - Free Fluid on Pelvic POCUS

Lots of free fluid in the pelvis can
Double Bladder Sign ... Pearl: double bladder ... sign = think free ... DoubleBladder #Sign ... Pelvis #Pelvic #Ultrasound
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