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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management diagnosis gastroenterology treatment ulcerative bowel checkpointinhibitor cholangitis coronavirus covid19 crohns differential diverticulosis dtt dual guide hepatology immune inflammatroy mild
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... refractory to medical therapy ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... intestine: Behcet's disease ... associated with ... NSAIDS, immuno-therapy ... lymphomas, others) #IBD
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm SCAD: Inflammation of the inter-diverticular mucosa without involvement
SCAD: Segmental Colitis ... Associated with ... Algorithm SCAD ... #IBD #Algorithm ... #IBDAlgorithm #
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Severe/Extensive Disease ... #IBDAlgorithm # ... IBD #Algorithm #
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative Colitis ... dosing if liver disease ... combination PO/PR 5-ASA therapy ... #Ulcerative #Colitis ... #treatment #IBD
The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
have concomitant IBD ... • COLITIS - PSC-IBD ... distinct from IBD ... Therapy with UDCA ... clinical trial evaluation
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
, IL-6, TNF-a) associated ... w severe disease ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
extension: - Disease ... extension • Isolated disease ... CA • Topical therapy ... Tacrolimus rarely associated ... diagnosis #management #algorithm
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... Grade of Disease ... indicated Diagnostic Evaluation ... diagnosis #management #algorithm ... #IBD
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