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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14 results
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm β€’ ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
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
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Dual #Targeted #Therapy ... #IBDAlgorithm # ... IBD #Algorithm #
Buprenorphine Initiation for the Uninitiated
1) WAIT FOR MODERATE WITHDRAWAL SYMPTOMS
 - Precipitated withdrawal can be caused
withdrawal can be caused ... guidance. 2) START ... Pro tip: Rx 8mg BID ... following day, start ... for maintenance therapy
Hemophilia - Diagnosis and Management
Diagnosis:
 β€’ Consistent bleeding history (unless screening for disease in family members
β€’ Consistent bleeding ... normal in mild cases ... Mild: Local therapy ... Antifibrinolytic therapy ... Avoid meds that
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... strength β€” physical therapy ... long lasting pain meds ... Optimize Nutrition β€” feeding ... Weaning #Ventilator #Algorithm
ED Treatment of 
Abnormal Uterine Bleeding 

Hemodynamically unstable 
Resuscitation 
 β€’ ABCs! 
 β€’ Fluids +
Abnormal Uterine Bleeding ... pregnancy related cause ... Medroxyprogesterone acetate PO Stat ... for long-term therapy ... Abnormal #Uterine #Bleeding
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... Vasoconstrictor therapy ... acquired/vasoactive meds ... - Refractory Bleeding ... diagnosis #management #algorithm
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Avoid ARBs β€’ ICD ... deteriorating on medical therapy ... investigative therapy ... teratogenic GDMT meds
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 β€’ first seizure occurred
Do you start Anti-Epileptic ... Drugs (AEDs) on ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... #Algorithm #Neurology