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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Dermatologic Extraintestinal Manifestations in IBD - IBD Algorithm

Erythema Nodosum
Pyoderma Gangrenosum
Metastatic Crohn's Disease
Sweet Syndrome
EBA

Dr. Wade Billings @wabillin

#Dermatologic
Manifestations in IBD ... - IBD Algorithm ... Metastatic Crohn's Disease ... #Algorithm #gastroenterology ... #management #dermatology
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... Perianal #Crohns #Disease ... #IBDAlgorithm #IBD ... #management #treatment
Algorithm for Diagnosis of the Vesiculobullous Rash

Febrile, Diffuse Distribution:
 - Varicella,  Smallpox,  Disseminated, Gonococcal,
Algorithm for Diagnosis ... Vesiculobullous Rash ... Hand Foot & Mouth Disease ... #Algorithm #Diagnosis ... #Dermatology #Skin
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
stages of this disease ... with or without treatment ... , but without treatment ... late stages of disease ... Clinical #Photo #Dermatology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash Β± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Adult-Onset Still's Disease ... arthritis, Skin rash ... autoinflammatory diseases ... diagnosis #management #treatment ... #rheumatology
Vesiculobullous Rashes - THE ALGORITHMIC APPROACH 
Vesiculobullous rashes provoke significant angst
in many physicians (Figure 5, page
Vesiculobullous Rashes - THE ALGORITHMIC ... disseminated gonococcal disease ... hand-foot-and-mouth disease ... #Diagnosis #Dermatology ... #Algorithm #Differential
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
can present with rash ... including heliotrope rash ... Classic triad of ILD ... after 2 years of treatment ... Myositis #diagnosis #rheumatology
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
interstitial lung disease ... (ILD)-associated ... Symptomatic treatment ... #lungdisease #ILD ... #algorithm
Behcet's Syndrome - Treatment
Ulcers:
 β€’ Treatment: Topical steroids
 β€’ Prevention: Colchicine
 β€’ Azathioprine for refractory disease
Arthritis:
Behcet's Syndrome - Treatment ... Ulcers: β€’ Treatment ... immunosuppressive meds ... #Syndrome #Treatment ... #pharmacology #rheumatology
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 β€’ Bx r/o
Esophageal Crohn's Disease ... Management Algorithm ... Stricturing/Fistulizing Disease ... #Management #Algorithm ... #treatment #IBD