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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Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
- IBD Algorithm ... Indication for ... Targeted #Therapy #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Epistaxis Management Algorithm / Checklist

1. blow out clots 
2. vasoconstrictor spray 
3. nose clip or direct
Epistaxis Management ... Algorithm / Checklist ... still bleeding and can ... coagulopathy, surgical evaluation ... #Management
An evidence-based algorithm to guide the use of MRSA coverage (in community acquired pneumonia) is shown
evidence-based algorithm ... ongoing, thoughtful evaluation ... MRSA #Coverage #Indications ... #CAP #Community ... #Acquired #Management
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... Imaging/VCE, FCP, CRP ... Remission > 12mo - Indication ... #algorithm #management ... gastroenterology #indications
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... UCSF COVID-19 ID ... UCSF #COVID19 #Evaluation ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... Ova and Parasite evaluation ... Adjust IS medications ... PTLD, GVHD or IBD
What is Fecal Occult Blood Testing (FOBT)
 β€’ Screening for colorectal cancer in average risk population
inpatient setting) for indications ... for GIB/anemia evaluation ... esophagitis, gastritis, IBD ... Does not change management ... and can lead to
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... papillae of tongue), abd ... diarrhea related to IBD ... total body stores Evaluation ... Deficiency #diagnosis #management
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... β€’ Labs: CBC, CMP ... , TSH, ESR, CRP ... Colitis #diagnosis #management ... #algorithm #IBD
Emergency Evacuation  - Guidelines for Crises in Anaesthesia
Anaesthetised or sedated patient requires unplanned transfer because
Emergency Evacuation ... Consider if patient can ... Intermittent bolus propofol ... Intraoperative #Checklist ... #Management