Dr. Gerald Diaz @GeraldMD
50.0M 14.4K 7.6K
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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Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Algorithm • ... risk if colonic CD ... 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
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 #
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 ... 20 mg/min -> Neurology ... Migraine #management #algorithm
Asymptomatic Ileitis - IBD Algorithm

 • Found on 0.1-21% of non-diagnostic colonoscopies
 • Low likelihood of
Asymptomatic Ileitis - IBD ... Algorithm • ... of representing CD ... Asymptomatic #Ileitis #IBDAlgorithm ... #IBD #Algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
and recommended therapy ... angiotensin-receptor blocker; CAD ... resynchronization therapy ... hypertension; ICD ... Stages #ACCAHA #Algorithm
Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 • Use gentle soap e.g. Dove
Pruritus Treatment Algorithm ... cream (NOT lotion) BID ... Pruritus #Treatment #Algorithm ... Uremia #Management #Nephrology ... #CKD
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
CA • Topical therapy ... adherence to medical therapy ... rectal prolapse, CD ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... < 34º INITIAL THERAPY ... , alb, Lipase, CK ... #Hypothermia #Protocol ... management #treatment #algorithm
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
• Baby oil BID ... in emollient* BID ... Pruritus #Treatment #Algorithm ... Uremia #Management #Nephrology ... #CKD