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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
Intestinal Manifestations ... HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
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
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... history: β€’ Small intestine ... NSAIDS, immuno-therapy ... (irritable bowel ... mimics #mimickers #differential
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
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm
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 #
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 β€’ Autoimmuneβ€” PBC, PSC
 β€’ Infectionβ€” liver
Malabsorption - Differential ... choledocho/ithiasis Intestinal ... Celiac disease β€’ IBD ... length β€’ Short bowel ... syndrome β€’ Small bowel
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
fistula Lower: β€’ Bowel ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... diagnosis #Causes #algorithm
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... Antiretroviral therapy ... Antiretroviral therapy ... Washington University ID ... diarrhea #HIVAIDS #Differential
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... - Management Algorithm ... IBD Patient on ... +/- EGD, Small Bowel ... Disease β†’ Optimize Therapy