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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IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... #Therapy #Deescalation ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... TIPS • Pre-TIPS evaluation ... Esophageal #Variceal #Bleeding ... #Diagnosis #Management
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
and IBD - Management ... Algorithm IBD Patient ... Imaging/VCE, FCP, CRP ... #Thiopurine #Deescalation ... #IBD #algorithm
An evidence-based algorithm to guide the use of MRSA coverage (in community acquired pneumonia) is shown
evidence-based algorithm ... ongoing, thoughtful evaluation ... #CAP #Community ... #Acquired #Management ... #Deescalate #Deescalation
Epistaxis Management Algorithm / Checklist

1. blow out clots 
2. vasoconstrictor spray 
3. nose clip or direct
Epistaxis Management ... Algorithm / Checklist ... and can see bleeding ... coagulopathy, surgical evaluation ... Checklist #ENT #Management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 • Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... Intubation: a/w adverse CP ... Infusion = 40mg IV BID ... #diagnosis #management ... #algorithm
What is Fecal Occult Blood Testing (FOBT)
 • Screening for colorectal cancer in average risk population
for GIB/anemia evaluation ... epistaxis, gingival bleeding ... esophagitis, gastritis, IBD ... Does not change management ... and can lead to
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... , TSH, ESR, CRP ... • Endoscopy ( ... Colitis #diagnosis #management ... #algorithm #IBD
Unilateral Floppy Eyelid Syndrome

This middle-aged male reported to clinic for persistent blurry vision and irritation of
He reported sleeping ... important and can ... Our management for ... fluoremethalone) BID ... granulomas” Surgical evaluation