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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diagnosis aortic bleeding boweldisease checkpointinhibitor clinical colitis diarrhea dissection esophageal fatigue gastroenterology gibleed handlebar hepatology immune inflammatory injury lower smallbowel
Endoscopy in Inflammatory Bowel Disease (IBD) - Scoping Summary • One way to ileum- tips &
Endoscopy in Inflammatory ... Bowel Disease ( ... Endoscopic Assessment ... #diagnosis #management ... #algorithm
Esophageal Variceal Bleeding - Diagnosis and Management Summary PRE-ENDOSCOPY Vasoactive agents - Octreotide: • 50mcg bolus →
Diagnosis and Management ... unclear source (in case ... TIPS • Pre-TIPS evaluation ... Propranolol 10mg BID ... Bleeding #Diagnosis #Management
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: • Bowel ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #algorithm
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... /other causes • ... #Algorithm #diagnosis ... #management
Causes of Small Bowel Ulceration The diagnosis of IBD can’t be made or excluded by biopsies alone
Bowel Ulceration ... The diagnosis of IBD ... requires clinical and endoscopic ... in the small bowel ... Ulceration #diagnosis #differential
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 ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #diagnosis #differential
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Evaluation: 1. ... presenting with chest/abd ... Pulse deficit/differential ... Dissection #diagnosis #management
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... • Endoscopy ( ... Colitis #diagnosis #management ... #algorithm #IBD
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... in over 80% of cases ... injuries to the small bowel ... pattern on your differential ... consultation, evaluation
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