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€’ ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management #treatment
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Algorithm What ... - Infrequent bowel ... defecation suggests IBS-C ... #Management #Algorithm ... gastroenterology #treatment
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... Irritable bowel ... by defaecation IBS-constipation ... of incomplete evacuation ... alternate between constipation
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
scripts and initial treatment ... algorithms. ... Ischemia: β€’ Small bowel ... colitis: β€’ Large bowel ... differences #diagnosis #table
Irritable Bowel Syndrome (IBS) Management Algorithm
Step 1: Good communication, dietary and lifestyle advice
Abdominal Pain:
 β€’ 1st
Irritable Bowel ... Algorithm Step ... eg TCA or SSRI Constipation ... #Management #Algorithm ... #Treatment
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
Proximal constipation ... rectal prolapse, CD ... , cancer Treatment ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
and Inflammatory Bowel ... of diet therapy CD ... balanced, nutritious Table ... Nutrition #comparison #table ... #management #treatment