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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ 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 ... infection (CMV, C. diff ... NSAIDS, immuno-therapy ... (irritable bowel ... #disease #mimics
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Severe/Extensive Disease ... #IBDAlgorithm # ... IBD #Algorithm #
Inflammatory Bowel Disease (IBD) - Inpatient Management Checklist
History and physical examination
 - Assess for disease severity
Inflammatory Bowel ... Disease (IBD) - ... Preparation for rescue therapy ... Radiographic evaluation ... #Inflammatory #Bowel
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
IBD Patient on ... Thiopurine Assess Disease ... +/- EGD, Small Bowel ... ESR β€’ Active Disease ... β†’ Optimize Therapy
A proposed management algorithm for CDI in patients with inflammatory bowel disease. *Severe-complicated CDI is defined
proposed management algorithm ... with inflammatory bowel ... disease. ... #CDI #CDiff #clostridiumdifficile ... #IBD #Algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... associated w severe disease ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
extension: - Disease ... CA β€’ Topical therapy ... Infection (CMV, c-Diff ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
Colitis Grade of Disease ... indicated Diagnostic Evaluation ... Diff, Stool cx, ... diagnosis #management #algorithm ... #IBD