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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13 results
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
for Describing Endoscopic ... Classification - Therapy ... Clear liquid  Ib ... II Stigmata of bleeding ... Classification #Endoscopy
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm β€’ ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Lower GI Bleeding - Scoping Summary
 β€’ Hematochezia
 β€’ History and Physical
 β€’ LGI Bleeding and
Lower GI Bleeding ... Physical β€’ LGI Bleeding ... Dual Antiplatelet Therapy ... #Summary #Endoscopy ... diagnosis #management #algorithm
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... #Therapy #Deescalation ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... Vasoconstrictor therapy ... acquired/vasoactive meds ... - Refractory Bleeding ... diagnosis #management #algorithm
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... TIPS β€’ Pre-TIPS evaluation ... Propranolol 10mg BID ... Carvedilol 3.125mg BID ... Esophageal #Variceal #Bleeding
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Dual #Targeted #Therapy ... #IBDAlgorithm # ... IBD #Algorithm #
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Infusion = 40mg IV BID ... Assessment and Therapy ... NonVariceal #UpperGI #Bleeding ... diagnosis #management #algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Empiric therapy ... Workup #Management #Algorithm
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... strength β€” physical therapy ... long lasting pain meds ... Optimize Nutrition β€” feeding ... Weaning #Ventilator #Algorithm