Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis gastroenterology summary cholangitis deescalation diarrhea differential dtt dual endoscopy falsenegatives falsepositives fecal fobt guaiac hepatology nonvariceal occultblood primary psc
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
IBD Algorithm ... Indication for DTT ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Thiopurine De-escalation and IBD - Management Algorithm IBD Patient on Thiopurine Interested in Discontinuing Thiopurine Assess Disease Activity:
- Management Algorithm ... Imaging/VCE, FCP, CRP ... Disease → Optimize Therapy ... Remission > 12mo - Indication ... #algorithm #management
The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
ducts, commonly leading ... there are many indications ... cancer • CURE - Care ... Therapy with UDCA ... clinical trial evaluation
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
Algorithm in Transplant ... Ova and Parasite evaluation ... Adjust IS medications ... PTLD, GVHD or IBD ... Empiric therapy
What is Fecal Occult Blood Testing (FOBT) • Screening for colorectal cancer in average risk population
used to smear on card ... for GIB/anemia evaluation ... epistaxis, gingival bleeding ... esophagitis, gastritis, IBD ... Does not change management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary Pre-Endoscopic Care: • Adequate resuscitation: Restrictive> Liberal strategy
Pre-Endoscopic Care ... Infusion = 40mg IV BID ... Assessment and Therapy ... Endoscopy #diagnosis #management ... #algorithm
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