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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Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ 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 β†’ Optimize Therapy ... Remission > 12mo - Indication ... #algorithm #management
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
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
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
there are many indications ... cancer β€’ CURE - Care ... liver disease management ... Therapy with UDCA ... clinical trial evaluation
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
is a front-line therapy ... VV-ECMO β€’ indicatons ... Book of Critical Care ... support #COVID19 #management ... 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 ... pharmacologic therapy ... 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