Dr. Gerald Diaz @GeraldMD
39.3M 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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12 results
Impacted Gallbladder Stone on POCUS
20 M with recurrent epigastric pain, planned for OGD.  POCUS :
Impacted Gallbladder ... Stone on POCUS ... EmergOmBur #Impacted #Gallbladder ... cholelithiasis #RUQ #abdominal ... #ultrasound
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GB stones shadow... cancer does not. Here is an unfortunate case of cholangiocarcinoma with abdominal ascites.
GB stones shadow ... cholangiocarcinoma with abdominal ... Cholangiocarcinoma #Gallbladder ... Clinical #POCUS #AbdominalUS ... #Ultrasound
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Gallbladder Neck Stones on POCUS

Packed stones close to neck of GB can be easily missed. Assess
Gallbladder Neck ... Stones on POCUS ... EmergOmBur #Gallbladder ... cholelithiasis #ultrasound ... #RUQ #abdominal
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UPJ Stone on Sagittal Bladder POCUS

4th grade female with right mid abdominal pain.  Brought from
UPJ Stone on Sagittal ... Bladder POCUS ... with right mid abdominal ... #Sagittal #Bladder ... POCUS #clinical #ultrasound
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Gallbladder Adenomyomatosis on POCUS
Adenomyomatosis: one cause of GB wall thickening. Can be associated with GB stones.
Gallbladder Adenomyomatosis ... associated with GB stones ... Adenomyomatosis #Gallbladder ... #POCUS #ultrasound ... clinical #RUQ #abdominal
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Cholecystitis and Cholelithiasis on POCUS
Focal cholecystitis with focal wall thickening at the fundus.
Sludge, beautiful stones, ?
Sludge, beautiful stones ... Cholelithiasis #POCUS #gallbladder ... #ultrasound #RUQ ... #clinical #abdominal
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Emphysematous Cystitis
Epidemiology:
 β€’ Usually middle-aged diabetic women
 β€’ Other RF: neurogenic bladder, urinary tract outlet obstruction,
RF: neurogenic bladder ... Abdominal or flank ... producing gas in bladder ... consider KUB or abdominal ... ultrasound as initial
WES Sign (Wall Echo Shadow) on POCUS
GB contracted around stones. Last clip shows how easily missed
40yoF
contracted around stones ... 1yr worsening abdominal ... WallEchoShadow #POCUS #gallbladder ... cholelithiasis #clinical #ultrasound
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Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... - RUQ ultrasound ... increase the risk of abdominal ... pain-dose ketamine infusion
Postpartum Hemorrhage - Differential Diagnosis and Management 
Uterine Atony (80%) - Most PPH Will respond to
Diagnosis and Management ... IVNS β€’ Drain bladder ... Using external abdominal ... compression (using ultrasound ... Differential #Diagnosis #Management