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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Venous Thromboembolism (VTE) in IBD - IBD Algorithm

 β€’ 2-3x risk VTE vs non-IBD
 β€’ VTE/AT
- IBD Algorithm ... Thromboembolism #VTE #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management ... #ppx #prophylaxis
Management of interstitial lung disease (ILD)-associated with systemic sclerosis (SSc)

Therapeutic indication: absolute decline in FVC >10%
Management of interstitial ... Therapeutic indication ... mmHg) over the 12 ... #management #treatment ... #algorithm
Acute ED Migraine Therapy and Preventative Therapy Algorithm:
Acute migraine
 β€’ IV NS IL bolus then infusion
Preventative Therapy Algorithm ... Preventative Medications ... Riboflavin (Vitamin B2 ... #Migraine #management ... #algorithm #treatment
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
- IBD Algorithm ... Indication for ... Targeted #Therapy #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... papillae of tongue), abd ... diarrhea related to IBD ... total body stores Evaluation ... Deficiency #diagnosis #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 ... Adjust IS medications ... PTLD, GVHD or IBD
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... only symptom 3-12% ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Migraine Prevention and Prophylaxis
Who to Consider: 
 β€’ β‰₯ 4 significant headaches or migraine attacks/month
 β€’
Prevention and Prophylaxis ... Preventative Medications ... Riboflavin (Vitamin B2 ... treatment #prevention #prophylaxis ... neurology #headache #management
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
Infections in HIV-AIDS Indications ... on ART (BIII) Indication ... for 3 days, then BID ... for at least 12 ... Prevention #Treatment #management
HBV Reactivation Risk in IBD on Immunosuppression Algorithm
Risk of Reactivation
High Risk: >10% Risk
 β€’ HBsAg+ /
Reactivation Risk in IBD ... Anti-lntegrin or Anti-IL 12 ... for > 4 weeks Prophylaxis ... Reactivation #risk #IBD ... #diagnosis #management