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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management diagnosis gastroenterology initiation treatment addiction buprenorphine prescribing antiepileptics bleeding cardiology cardiomyopathy crohns deescalation deprescribing disease drugs dual emergencies endoscopy
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
Dual Targeted Therapy ... (DTT) in IBD - ... IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm #
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... 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
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
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure? SHINE Mnemonic: • first seizure occurred
Do you start Anti-Epileptic ... Drugs (AEDs) on ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... #Algorithm #Neurology
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
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
+ ANC < 500 → start ... allopurinol 300 mg BID ... Treat underlying cause ... (~25 %) during therapy
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 ... diagnosis #management #algorithm
Quick Guide: Buprenorphine Initiation Algorithm Adjunctive meds: The following can be prescribed PRN for symptoms of withdrawal
Buprenorphine Initiation Algorithm ... Adjunctive meds ... q 6 hours PRN nausea ... 1, then day 2 start ... withdrawal, then start
Essential Thrombocythemia (ET) ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... affect the JAK-STAT ... MI, stroke, DVT/ ... • Treatment algorithms
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