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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Functional GI Disorders in IBD - IBD Algorithm

Background:
 β€’ 25-40% of IBD in remission have IBS
- IBD Algorithm ... symptoms β€’ FGID ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
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
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Receptor (sTfR) to differentiate ... diet/deficiency symptoms ... #Algorithm #diagnosis ... #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Algorithm in Transplant ... Ova and Parasite evaluation ... Adjust IS medications ... PTLD, GVHD or IBD ... #diagnosis #differential
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... INDICATIONS FOR ... during medical evaluation ... workup for specific symptoms ... #Differential #
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... 30%; can be only symptom ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
there are many indications ... Care focuses on symptom ... liver disease management ... clinical trial evaluation ... Cholangitis #diagnosis #management
First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires
initially requires an evaluation ... of respiratory symptoms ... summary of the differential ... #Diagnosis #Management ... #Differences #Algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
diarrhea related to IBD ... to manifest its symptoms ... total body stores Evaluation ... , alcohol use, symptoms ... Deficiency #diagnosis #management