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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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 ... diagnosis #management #algorithm ... #VARICEALB #Mnemonic
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 ... SHINE Mnemonic: ... #Algorithm #Neurology ... #SHINE #mnemonic
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
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... Infusion = 40mg IV BID ... armamentarium β€’ Start ... Assessment and Therapy ... diagnosis #management #algorithm
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
+ ANC < 500 β†’ start ... allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... Treat underlying cause ... (~25 %) during therapy