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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Algorithm β€’ ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... into meaningful clinical ... Alternative causes ... to a superior therapy ... #Management #Alcohol
β–Ί
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... fatigue despite clinical ... /other causes β€’ ... #Algorithm #diagnosis ... #management
Post-abortion Hemorrhage Management Algorithm
Cervical laceration
 β†’ Direct pressure, silver nitrate for small laceration
 β†’ Repair with
Post-abortion Hemorrhage Management ... Algorithm Cervical ... atony or unsure of cause ... Laparoscopy and Repair Clinical ... massive transfusion protocol
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Ulcerative Colitis - Management ... Nissle β€’ VSL#3: ↑ clinical ... combination PO/PR 5-ASA therapy ... #Colitis #UC #Management ... #treatment #IBD
Hypertonic Saline for Treatment of Hyponatremic Encephalopathy
1) 100 ml bolus of 3% NaCl over 10 min.
May repeat until clinical ... ) Stop further therapy ... improved headache and nausea ... Saline #Treatment #management ... #protocol #hyponatremia
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
will vary with clinical ... Non-Benzos): β€’ Propofol ... Propofol infusion ... pharmacologic therapy ... CriticalCare #diagnosis #management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
COVID-19 Adult Clinical ... Cardiac: multiple case ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2