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 treatment gastroenterology addiction buprenorphine endoscopy initiation prescribing summary abnormal aub cardiology cardiomyopathy criticalcare crohns crrt deescalation deprescribing disease dtt
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Algorithm • ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
IBD Therapy De-escalation - IBD Algorithm Dr. Wade Billings @wabillin #IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Hemophilia - Diagnosis and Management Diagnosis: • Consistent bleeding history (unless screening for disease in family members
Diagnosis and Management ... normal in mild cases ... Mild: Local therapy ... Antifibrinolytic therapy ... Avoid meds that
Buprenorphine Initiation for the Uninitiated 1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS - Precipitated withdrawal can be caused
withdrawal can be caused ... guidance. 2) START ... following day, start ... for maintenance therapy ... Prescribing #Addiction #Management
Weaning from the Ventilator - Algorithm Setting up for extubation success • Decrease demand — correct metabolic
the Ventilator - Algorithm ... strength — physical therapy ... long lasting pain meds ... Optimize Nutrition — feeding ... #CriticalCare #Management
Esophageal Variceal Bleeding - Scoping Summary GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B): V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... Vasoconstrictor therapy ... acquired/vasoactive meds ... #algorithm #VARICEALB
ED Treatment of Abnormal Uterine Bleeding Hemodynamically unstable Resuscitation • ABCs! • Fluids +
Abnormal Uterine Bleeding ... pregnancy related cause ... Medroxyprogesterone acetate PO Stat ... for long-term therapy ... #Management #Obstetrics
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Avoid ARBs • ICD ... deteriorating on medical therapy ... investigative therapy ... teratogenic GDMT meds
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Infusion = 40mg IV BID ... armamentarium • Start ... Assessment and Therapy ... Endoscopy #diagnosis #management ... #algorithm
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