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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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 #
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
Segmental Colitis Associated ... Diverticulosis - IBD ... Algorithm SCAD ... Diverticulosis #IBD ... #Algorithm #IBDAlgorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... PTLD, GVHD or IBD ... Empiric therapy ... #Diarrhea #Workup
Differential diagnosis of the reversed halo sign (RHS). AIA, angioinvasive aspergillosis; AIS, adenocarcinoma in situ; COP,
+Upper respiratory ... RHS, possibly associated ... †Associated with ... infection or radiation therapy ... #Differential #Algorithm
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
CA β€’ Topical therapy ... adherence to medical therapy ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
full infectious work-up ... days β†’ add fungal work-up ... allopurinol 300 mg BID ... swelling, dyspnea, upper-extremity ... (~25 %) during therapy
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
in Non-Variceal Upper ... Infusion = 40mg IV BID ... Assessment and Therapy ... #NonVariceal #UpperGI ... diagnosis #management #algorithm
Algorithm for Diagnosis of Diffuse Cystic Lung Disease (DCLD)
Round, smooth cysts with normal lung parenchyma in
Algorithm for Diagnosis ... cavities in an upper ... May have associated ... presentations - ILD ... DCLD #pulmonary #Algorithm