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 endoscopy treatment bleeding deficiency differential b12 boweldisease checkpointinhibitor cobalamin colitis coronavirus covid19 disorders esophageal fe functional gastroenterology gastrointestinal gibleed
Functional GI Disorders in IBD - IBD Algorithm Background: • 25-40% of IBD in remission have IBS
Functional GI Disorders ... in IBD - IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... Mesenteric ischemia • Inflammatory ... colitis, UC/Chrons (IBD ... #algorithm
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... • Blood loss: GI ... cancer, ulcer, IBD ... other chronic inflammatory ... #Fe #algorithm
Endoscopy in Inflammatory Bowel Disease (IBD) - Scoping Summary • One way to ileum- tips &
Endoscopy in Inflammatory ... ) - Scoping Summary ... #Summary #Endoscopy ... #diagnosis #management ... #algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... rhinorrhea) <20% • GI ... death • Higher inflammatory ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... skin pallor • GI ... total body stores Evaluation ... symptoms • P/E - GI ... Deficiency #diagnosis #management
Hemophagocytic Lymphohistiocytosis (HLH) Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
production of pro-inflammatory ... Drugs, Unknown cause ... inhibitors under evaluation ... Lymphohistiocytosis #diagnosis #management ... #treatment #summary
Esophageal Variceal Bleeding - Diagnosis and Management Summary PRE-ENDOSCOPY Vasoactive agents - Octreotide: • 50mcg bolus →
Diagnosis and Management ... Summary PRE-ENDOSCOPY ... unclear source (in case ... TIPS • Pre-TIPS evaluation ... Bleeding #Diagnosis #Management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI ... Bleeding - Scoping Summary ... Infusion = 40mg IV BID ... Endoscopy #diagnosis #management ... #algorithm
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... -4 • Consult GI ... Colitis #diagnosis #management ... #algorithm #IBD
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