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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9 results
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
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
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
Stages in the development ... hypertension; ICD ... HeartFailure #Staging #Stages ... #ACCAHA #Algorithm ... #Management #Cardiology
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 • ABCs! 
 • Fluids +
Abnormal Uterine Bleeding ... Medroxyprogesterone acetate PO Stat ... Hemodynamically stable ... for long-term therapy ... #Management #Obstetrics
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Renal Replacement Therapy ... altered mental status ... pericarditis, bleeding ... in the ICU: • IHD ... #RRT #managment
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Delivery • Stable ... Period • Breast-feeding ... Avoid ARBs • ICD ... deteriorating on medical therapy ... investigative therapy
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... Infusion = 40mg IV BID ... Assessment and Therapy ... Endoscopy #diagnosis #management ... #algorithm
Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... < 34º INITIAL THERAPY ... INVESTIGATIONS • Stat ... #management #treatment ... #algorithm