Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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
of HIV, IBD in ... HIV - IBD Algorithm ... HIV + IBD Treatment ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #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
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:
 • Refractory
 • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Dual #Targeted #Therapy ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
history: • Small intestine ... & small/large intestine ... NSAIDS, immuno-therapy ... lymphomas, others) #IBD ... mimics #mimickers #differential
Differential Diagnosis for Generalized Lymphadenopathy

Viral
• HIV 
• EBV 
• CMV 
• HBV 
• Dengue 
• Rubella
Differential Diagnosis ... Lymphadenopathy Viral • HIV ... • Crypto Protozoal ... Lymphadenopathy #Differential ... Diagnosis #Causes #Algorithm
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... of diarrhea in HIV ... Antiretroviral therapy ... Washington University ID ... diarrhea #HIVAIDS #Differential
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 • Autoimmune— PBC, PSC
 • Infection— liver
Malabsorption - Differential ... — liver fluke, HIV ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... Tropical sprue • HIV
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 • IV NS IL bolus then infusion
Acute ED Migraine Therapy ... and Preventative Therapy ... Algorithm: Acute ... glycinate) 200mg BID ... Migraine #management #algorithm