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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An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock
Diagnosis #POCUS #Evaluation ... #Protocol #Algorithm ... #High #Chest #Cardiogenic
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm β€’ ... risk if colonic CD ... #Algorithm #gastroenterology ... #management #treatment
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 β€’ Bx r/o
Disease Management Algorithm ... Fistulizing DX: β€’ Chest ... Esophagectomy Algorithm ... Disease #Management #Algorithm ... #treatment #IBD
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
and Management Algorithm ... oral manif. of IBD ... Algorithm by Dr ... Diagnosis #Management #Algorithm ... #treatment
Pruritus Treatment Algorithm for Hemodialysis Patients 

Non-PharmacoIogicaI Measures 
 β€’ Use gentle soap e.g. Dove
Pruritus Treatment ... Algorithm for Hemodialysis ... #Pruritus #Treatment ... #Algorithm #Hemodialysis ... Management #Nephrology #CKD
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... UCSF COVID-19 ID ... UCSF #COVID19 #Evaluation ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
: Increase < 4 BMs ... : Increase 4-6 BMs ... indicated Diagnostic Evaluation ... diagnosis #management #algorithm ... #IBD
Hypothermia - Protocol for ED
CORE TEMP < 34ΒΊ
INITIAL THERAPY
 β€’ Remove wet garments
 β€’ Avoid rough
Hypothermia - Protocol ... , alb, Lipase, CK ... ECG β€’ ABG β€’ Chest ... #management #treatment ... #algorithm
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
Alternative Dx: IBS ... rectal prolapse, CD ... , cancer Treatment ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Management of Pruritus in Patients with Chronic Kidney Disease
Pruritus with no primary lesions - differential diagnosis:
β€’ Baby oil BID ... in emollient* BID ... #Pruritus #Treatment ... #Algorithm #Hemodialysis ... Management #Nephrology #CKD