Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
What is the difference ... scripts and initial treatment ... algorithms. ... mesentericischemia #comparison #differences ... #diagnosis #table
Persistent UC Symptoms Despite 5-ASA Therapies
 β€’ Assess for Drug Adherence
 β€’ Disease Activity Assessment (bloody
Persistent UC Symptoms ... Drug Adherence β€’ Disease ... Infection, Cdiff Mild ... JAK Inhibitor Algorithm ... #Management #Algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 β€’ (Re)consult Colorectal Surgery
 β€’ Assess
Severe Ulcerative Colitis ... Adherence β€’ Assess Disease ... #UC #Management ... #Algorithm #IBD ... #Treatment
Mild-to-Moderate Ulcerative Colitis - Management Algorithm
Curcumin:
 β€’ Natural phytochemical from turmeric
 β€’ 2g/day divided in 2-3
Mild-to-Moderate ... Ulcerative Colitis ... dosing if liver disease ... #Algorithm #treatment ... #IBD
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
facial paralysis *Differential ... Mild Dx - Also applies ... oral manif. of IBD ... ; UC>CD β€’ Snail ... #treatment
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
Mild LFT ↑ This ... The table below ... Treatment is tetracycline ... initiation of treatment ... Infectious Diseases
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
diet therapy CD > UC ... balanced, nutritious Table ... Exclusion of grains, milk ... Nutrition #comparison #table ... #management #treatment
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
Chronic Kidney Disease ... primary lesions - differential ... Use mild detergent ... #Pruritus #Treatment ... #Algorithm #Hemodialysis