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 • ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... a center that is ... to a superior therapy ... #Management #Alcohol ... #Protocol #PulmCrit
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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 ... Adjust IS medications ... PTLD, GVHD or IBD ... Empiric therapy
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
CA • Topical therapy ... Alternative Dx: IBS ... Ulcerative #Proctitis #IBD ... #diagnosis #management ... #algorithm
Management of Anaphylaxis in the Outpatient Setting

In the management of anaphylaxis, administering intramuscular epinephrine and ensuring
Management of Anaphylaxis ... suggested office-based protocol ... is shown in Figure ... delivering this therapy ... Anaphylaxis #Outpatient #Algorithm
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Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... < 34º INITIAL THERAPY ... IV until temp is ... #management #treatment ... #algorithm