Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Acute Severe Ulcerative Colitis (ASUC) - IBD Algorithm

By Dr. Wade Billings @wabillin

#Acute #Severe #Ulcerative #Colitis #ASUC
Colitis (ASUC) ... - IBD Algorithm ... #ASUC #IBD #Algorithm ... #IBDAlgorithm # ... gastroenterology #Management
Local Anaesthetic Toxicity - Guidelines for Crises in Anaesthesia
Signs of severe toxicity:
 • Sudden alteration in
Signs of severe ... using standard protocols ... thiopental or propofol ... Intraoperative #Checklist ... #Diagnosis #Management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 • Refractory
 • Failed multiple
Therapy (DTT) in IBD ... - IBD Algorithm ... therapies • Severe ... #IBD #Algorithm ... gastroenterology #management
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
Diverticulosis - IBD ... Algorithm SCAD ... Diverticulosis #IBD ... #Algorithm #IBDAlgorithm ... #management #gastroenterology
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 • (Re)consult Colorectal Surgery
 • Assess
Relapsing Acute Severe ... Ulcerative Colitis ... - Management Algorithm ... #UC #Management ... #Algorithm #IBD
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or ≥ 39 C this is a
or ≥ 39 C this is ... Actively maintained fever ... Anesthesiology #Anesthesia ... #Checklist #Diagnosis ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
• Unexplained hypotension
• Unexplained bronchospasm (wheeze may be absent
may be absent if severe ... often absent in severe ... often absent in severe ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❶ Call for
major haemorrhage protocol ... equipment. ❽ Discuss management ... Anesthesiology #Anesthesia ... Intraoperative #Checklist ... #Diagnosis #Management
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
Guidelines for Crises ... optimal airway management ... in Box D). ⓫ Secure ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
Severe sepsis ... devices could have caused ... ❼ If patient is ... Anesthesiology #Anesthesia ... Intraoperative #Checklist