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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Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... Receptor (sTfR) to differentiate ... fatigue w/ active IBD
Maculopapular Rashes - THE ALGORITHMIC APPROACH 

The term maculopapule is a portmanteau, a combination
of macule and
Maculopapular Rashes - THE ALGORITHMIC ... macule and papule (Table ... Those with centrally ... Maculopapular #Rash #Algorithm ... #Differential
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
and Management Algorithm ... facial paralysis *Differential ... (Triamcinolone dental ... oral manif. of IBD ... Resolve w Rx of IBD
CENTRAL FACIAL / NASAL LESIONS
Bacteria:
 β€’ Leprosy (saddle nose deformity)
 β€’ Tuberculosis (lupus vulgaris)l
 β€’ Endemic
CENTRAL FACIAL / ... NASAL LESIONS ... Washington University ID ... #Lesions #infections ... infectiousdiseases #differential
Connective tissue disease-associated interstitial lung diseases

LIP: lymphoid interstitial pneumonia. NSIP: nonspecific interstitial pneumonia. OP: organizing pneumonia.
ConnectiveTissueDiseases #ILD ... CTILD #Diagnosis #Differential ... #Comparison #Table
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
GAVE, Dieulafoy lesion ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... diagnosis #Causes #algorithm
Toxidromes Compared: Anticholinergic, Cholinergic, Opioid, Sympathomimetic, Sedative-Hypnotic

During your physical exam, look for evidence of some of
little forced" "I'd ... bowel sounds, it's general ... highest order and I'd ... Toxicology #Toxidromes #Comparison ... #Table #Anticholinergics
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Subacute stage: - RB-ILD ... periphery towards the centrum ... #CTChest #UIP #Comparison ... Fibrosis #Mimic #ILD
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
Bowel Disease (IBD ... Diet affects IBD ... cheeses, yogurts β€’ IBD-Anti-inflammatory ... #BowelDisease #IBD ... #Nutrition #comparison
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
with no primary lesions ... - differential ... of Dry Skin – General ... Use mild detergent ... Pruritus #Treatment #Algorithm