Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - 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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Primary Sclerosing Cholangitis (PSC) and IBD - IBD Algorithm

Dr. Wade Billings @wabillin

#PSC #IBD #Algorithm #IBDAlgorithm #gastroenterology
Algorithm Dr. ... @wabillin #PSC ... #IBD #Algorithm ... #IBDAlgorithm # ... gastroenterology #management
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
β€’ COLITIS - PSC-IBD ... liver disease management ... clinical trial evaluation ... Cholangitis #diagnosis #management ... #summary #Hepatology
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm
Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
and Treatment Algorithm ... ng/mL (absolute ID ... (class IIb) β€’ ESC ... heartfailure #diagnosis #management ... #algorithm #cardiology
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... restricted diet/deficiency ... /other causes β€’ ... #Algorithm #diagnosis ... #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... β€’ Common Causes ... diarrhea related to IBD ... total body stores Evaluation ... #diagnosis #management
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)β†’Activation of CD8 T cells (IFN-y) β†’ Excessive activation of macrophages
Cellular immune deficiency ... Drugs, Unknown cause ... inhibitors under evaluation ... Lymphohistiocytosis #diagnosis #management ... #treatment #summary
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Diagnosis and Management ... Summary PRE-ENDOSCOPY ... unclear source (in case ... TIPS β€’ Pre-TIPS evaluation ... Bleeding #Diagnosis #Management
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary ... exclude other causes ... Management during ... Avoid ARBs β€’ ICD ... (e.g., <50%), ESC
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
ICU One Pager Summary ... Dialyzer is rigid case ... in the ICU: β€’ IHD ... (Sustained low efficiency ... #Therapy #RRT #managment