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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Acute Severe Ulcerative Colitis (ASUC) - IBD Algorithm

By Dr. Wade Billings @wabillin

#Acute #Severe #Ulcerative #Colitis #ASUC
Acute Severe Ulcerative ... Colitis (ASUC) ... - IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Therapy (DTT) in IBD ... - IBD Algorithm ... therapies β€’ Severe ... Targeted #Therapy #IBDAlgorithm ... #IBD #Algorithm
Modified dengue severity classification, PAHO/WHO
Dengue without warning signs - DNWS:
 β€’ Person who lives or has
and no apparent focus ... ascites, pleural effusion ... , pericardial effusion ... Severe bleeding: ... nervous system [CNS] bleeding
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Ultrasound (IUS) in IBD ... - IBD Algorithm ... Ultrasound #IUS #IBD ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... CO2 production (fever ... draining pleural effusions ... Optimize Nutrition β€” feeding ... Weaning #Ventilator #Algorithm
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... bolus β†’ 50mcg/hr infusion ... procedure and every ... Propranolol 10mg BID ... Esophageal #Variceal #Bleeding
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... 50mcg bolus -> infusion ... Coagulopathy -> Don't reverse ... - Refractory Bleeding ... diagnosis #management #algorithm
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 β€’ Apply direct pressure/compression bandage
Binder) β€’ Use POCUS ... 15 mg/kg/hr IV infusion ... range for more severe ... D - Severe head ... β€’ Vaspressor infusion
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
Acidosis (usually severe ... Uremia (causing severe ... pericarditis, bleeding ... molecules via diffusion ... in the ICU: β€’ IHD
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
: - Fever + ANC ... allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... hours-to-days post-infusion ... , SOB, pleural effusions