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€’ ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Ducts - CBD ... stone, Biliary ... Transaminitis #Algorithm
Idiopathic Inflammatory Myopathies - 
Dermatomyositis (DM), Immune-Mediated Necrotizing Myopathy (IMNM), Antisynthetase Syndrome (ASS), Inclusion Body Myositis
Idiopathic Inflammatory ... Body Myositis (IBM ... TerrierBen #Inflammatory ... Idiopathic #Myopathy #Comparison ... #Managment #algorithm
Asymptomatic Ileitis - IBD Algorithm

 β€’ Found on 0.1-21% of non-diagnostic colonoscopies
 β€’ Low likelihood of
Asymptomatic Ileitis - IBD ... Algorithm β€’ ... Asymptomatic #Ileitis #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management ... Very strong - CBD ... Strong - Dilated CBD ... Moderate - Abnormal ... #Biliary
Endoscopy in Inflammatory Bowel Disease (IBD) - Scoping Summary
 β€’ One way to ileum- tips &
Endoscopy in Inflammatory ... score and SES-CD ... ScopingSundays #Inflammatory ... Endoscopy #diagnosis #management ... #algorithm
Proposed Schema for the Management of Pruritus in Primary Biliary Cholangitis (PBC). 

Cholestyramine up to 4g
Schema for the Management ... Pruritus in Primary Biliary ... Recirculating System; CBD ... Pruritus #Primary #Biliary ... #Hepatology #Algorithm
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
Bowel Disease (IBD ... of diet therapy CD ... cheeses, yogurts β€’ IBD-Anti-inflammatory ... #Nutrition #comparison ... #table #management
Thiopurines in IBD
Indications:
 β€’ Steroid-sparing agents indicated for maintenance of remission in UC and CD
 β€’
Thiopurines in IBD ... remission in UC and CD ... #Thiopurines #IBD ... #Inflammatory # ... BowelDisease #Management