Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... restricted diet/deficiency ... fatigue after correction ... /other causes β€’ ... #Algorithm #diagnosis
Blood Culture Collection Algorithm - Adult Patients with Suspected Systemic Infection 

Pawlowicz et al evidenced based
Blood Culture Collection ... to guide the decision ... whose clinical status ... BloodCultures #Collection ... EmergencyDepartment #Protocol
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Clinical Evaluation Guide ... Cardiac: multiple case ... UCSF COVID-19 ID ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... β€’ Common Causes ... diarrhea related to IBD ... malabsorptive state ... B12 #Cobalamin #Deficiency
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
altered mental status ... Dialyzer is rigid case ... in the ICU: β€’ IHD ... (Sustained low efficiency ... fluid removal and correction