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 cancer colitis colon colorectal gastroenterology screening tests checkpointinhibitor diarrhea differential druginduced falsenegatives falsepositives fecal fobt guaiac immune indications lupus
What is Fecal Occult Blood Testing (FOBT) • Screening for colorectal cancer in average risk population
Fecal Occult Blood Testing ... indications other than CRC ... for GIB/anemia evaluation ... esophagitis, gastritis, IBD ... Does not change management
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 ... #Algorithm #Transplant
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Ulcerative Colitis - Management ... Flex Sig, FCP, CRP ... Multidisciplinary Meeting ... #Colitis #UC #Management ... #Algorithm #IBD
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
Usual therapeutic management ... of SLE • Evolution ... druginduced #lupus #sle #comparison ... #table #rheumatology ... #diagnosis #management
Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based tests: • FIT: 79% sensitivity, 94% specificity for CRC
specificity for CRC ... specificity for CRC ... Screening #Tests #comparison ... #table #management ... #Testing
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
specificity for CRC ... specificity for CRC ... Indications #Tests #comparison ... #table #management ... #Testing #Indications
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... Consult GI • Labs: CBC ... CMP, TSH, ESR, CRP ... Colitis #diagnosis #management ... #algorithm #IBD
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