Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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Emphysematous cholecystitis! Look for: Comet-tail artifact from abrupt change of acoustic impedance at a soft tissue/gas
Emphysematous cholecystitis ... GB (champagne sign ... ) - Arizona Ultrasound ... @SonoStache #Clinical ... #POCUS #Gallbladder
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Stone in Neck (SIN) Sign of Acute Cholecystitis

Always eval the GB neck - impacted stone-in-neck (SIN)
Cholecystitis ... cholecystitis. ... #Gallbladder #Cholelithiasis ... #POCUS #clinical ... #ultrasound #Cholecystitis
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MTP Gout Effusion on POCUS
50s male with DM/HTN (no hx gout) and great toe pain-MTP joint.
MTP Gout Effusion ... No trauma. ... without using ultrasound ... #Clinical #POCUS ... #ultrasound #MSK
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Aspiration of MTP Gout Effusion

Good to the last drop. In-plane ultrasound guided aspiration to maximize fluid
Aspiration of MTP ... Gout Effusion ... In-plane ultrasound ... #clinical #pocus ... #ultrasound #msk
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MCP Synovitis on Ultrasound
Young rheumatology patient. Florid synovitis of the MCP joint with effusion on dynamic
joint with effusion ... Synovitis #Metacarpal #MSK ... #Ultrasound #POCUS ... #Clinical #Joint ... #Effusion
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WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF
WES Sign (Wall Echo ... Shadow) on POCUS ... Path: chronic cholecystitis ... #gallbladder #cholelithiasis ... #clinical #ultrasound
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Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS
Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Gangrenous cholecystitis ... POCUS GB done. ... US Murphy's sign ... #POCUS #clinical ... #ultrasound #RUQ
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Sternal fracture on POCUS. 

60 year old PT, fell on her chest 4 days ago, tender
Sternal fracture on POCUS ... of pericardial effusion ... Sternum #Fracture #Clinical ... #POCUS #ultrasound ... #msk #trauma
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