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 ... Severe/Extensive Disease ... #IBD #Algorithm ... gastroenterology #management
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... Thiopurine Assess Disease ... Imaging/VCE, FCP, CRP ... ESR β€’ Active Disease ... #algorithm #management
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
there are many indications ... management. ... clinical trial evaluation ... Cholangitis #diagnosis #management ... #summary #Hepatology
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
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... diarrhea related to IBD ... , celiac disease ... total body stores Evaluation ... Deficiency #diagnosis #management
Polycythemia Vera (PV) - Diagnosis and Management Summary
Diagnostic Criteria:
 β€’ Elevated hemoglobin and/or hematocrit AND
 β€’
Summary Diagnostic ... for an unrelated indication ... complications can ... β€’ Treatment algorithms ... von Willebrand disease
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 ... , TSH, ESR, CRP ... Colitis #diagnosis #management ... #algorithm #IBD