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 ... #ASUC #IBD #Algorithm ... #IBDAlgorithm #
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... therapies β€’ Severe ... #IBDAlgorithm # ... IBD #Algorithm #
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Mild-to-Moderate Ulcerative Colitis ... combination PO/PR 5-ASA therapy ... retain enemas if severe ... #Ulcerative #Colitis ... #treatment #IBD
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 ... strength β€” physical therapy ... Optimize Nutrition β€” feeding
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... Vasoconstrictor therapy ... 50mcg bolus -> infusion ... Coagulopathy -> Don't reverse ... diagnosis #management #algorithm
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
Renal Replacement Therapy ... Acidosis (usually severe ... Uremia (causing severe ... pericarditis, bleeding ... in the ICU: β€’ IHD
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... hours-to-days post-infusion ... (~25 %) during therapy ... , SOB, pleural effusions
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... and endotherapy; Infusion ... = 40mg IV BID ... Assessment and Therapy ... diagnosis #management #algorithm