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
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... and Management Summary ... unclear source (in case ... TIPS β€’ Pre-TIPS evaluation ... Diagnosis #Management #treatment
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
ducts, commonly leading ... have concomitant IBD ... Therapy with UDCA ... clinical trial evaluation ... diagnosis #management #summary
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary ... exclude other causes ... Avoid ARBs β€’ ICD ... investigative therapy ... management #cardiology #treatment
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
and Management Summary ... malignant, pediatric cases ... adrenoceptors, potentially leading ... pheochromocytoma: primary therapy ... pheochromocytoma: MIBG therapy
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
Renal Replacement Therapy ... ICU One Pager Summary ... pericarditis, bleeding ... Dialyzer is rigid case ... in the ICU: β€’ IHD
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... - Scoping Summary ... Infusion = 40mg IV BID ... Assessment and Therapy ... diagnosis #management #algorithm
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
Summary of Oncologic ... allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... Treat underlying cause ... (~25 %) during therapy