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
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Empiric therapy
Summary of Approach to Patients on Immune Checkpoint Inhibitors - Symptom Staging and Management for Common
Summary of Approach ... and Management ... for Common Immunotherapy-Related ... Checkpoint #Inhibitors #Therapy ... #Algorithm
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
liver disease management ... Therapy with UDCA ... clinical trial evaluation ... Cholangitis #diagnosis #management ... #summary #Hepatology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... EGD, Small Bowel Imaging ... Disease β†’ Optimize Therapy ... 12mo - Indication for ... #algorithm #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Diagnosis and Management ... Summary PRE-ENDOSCOPY ... TIPS β€’ Pre-TIPS evaluation ... Cross-sectional imaging ... Bleeding #Diagnosis #Management
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... Random Bx and IHC staining ... fecal calprotectin or ... Colitis #diagnosis #management ... #algorithm #IBD
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Bleeding - Scoping Summary ... Infusion = 40mg IV BID ... Assessment and Therapy ... Endoscopy #diagnosis #management ... #algorithm