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
Algorithm β€’ ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management #treatment
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
Therapy (RRT) - ... molecules via diffusion ... in the ICU: β€’ IHD ... therapy): 24 hr ... #Therapy #RRT #
Renal Replacement Therapy (RRT) Modalities

RRT Modalities in the ICU:
 β€’ IHD (Intermittent HD):  3-5 hr
Therapy (RRT) Modalities ... in the ICU: β€’ IHD ... therapy): 24 hr ... both convection & diffusion ... #Therapy #RRT #
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 β€’ IV NS IL bolus then infusion
Acute ED Migraine Therapy ... and Preventative Therapy ... Algorithm: Acute ... IL bolus then infusion ... #treatment #prevention
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
allopurinol 300 mg BID ... Consider TEG to guide replacement ... hours-to-days post-infusion ... (~25 %) during therapy ... , SOB, pleural effusions