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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8 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... Imaging/VCE, FCP, CRP ... Remission > 12mo - Indication ... #algorithm #management ... gastroenterology #indications
An evidence-based algorithm to guide the use of MRSA coverage (in community acquired pneumonia) is shown
evidence-based algorithm ... ongoing, thoughtful evaluation ... MRSA #Coverage #Indications ... #CAP #Community ... #Acquired #Management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
incr in 4-35% β€’ CRP ... inflammatory markers (CRP ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 β€’ (Re)consult Colorectal Surgery
 β€’ Assess
Ulcerative Colitis - Management ... Flex Sig, FCP, CRP ... Surgery β‰  Treatment Failure ... #Colitis #UC #Management ... #Algorithm #IBD
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
VV-ECMO β€’ indicatons ... Book of Critical Care ... support #COVID19 #management ... criticalcare #hypoxia #failure ... #algorithm
What is Fecal Occult Blood Testing (FOBT)
 β€’ Screening for colorectal cancer in average risk population
used to smear on card ... for GIB/anemia evaluation ... esophagitis, gastritis, IBD ... Does not change management ... and can lead to
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
engagement Critical Care ... scenario / sedation indication ... Propofol infusion ... bradycardia. renal/liver failure ... CriticalCare #diagnosis #management
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
limiting self-care ... indicated Diagnostic Evaluation ... , TSH, ESR, CRP ... Colitis #diagnosis #management ... #algorithm #IBD