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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Algorithm β€’ ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management #treatment
Smoking Cessation and Nicotine Replacement Therapy (NRT)
Smoking is the leading cause of preventable death and a
Therapy (NRT) ... Smoking is the leading ... cause of preventable ... Therapy (NRT): ... management #treatment
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
Therapy (RRT) - ... pericarditis, bleeding ... Dialyzer is rigid case ... in the ICU: β€’ IHD ... therapy): 24 hr
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... unclear source (in case ... TIPS β€’ Pre-TIPS evaluation ... Esophageal #Variceal #Bleeding ... Diagnosis #Management #treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... Treat underlying cause ... Consider TEG to guide replacement ... (~25 %) during therapy
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Avoid ARBs β€’ ICD ... deteriorating on medical therapy ... investigative therapy ... management #cardiology #treatment