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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Lower GI Bleeding - Scoping Summary
 β€’ Hematochezia
 β€’ History and Physical
 β€’ LGI Bleeding and
- Scoping Summary ... Dual Antiplatelet Therapy ... #Summary #Endoscopy ... #hematochezia #diagnosis ... #management #algorithm
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
- Scoping Summary ... Vasoconstrictor therapy ... #Summary #Endoscopy ... #diagnosis #management ... #algorithm #VARICEALB
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
ducts, commonly leading ... asymptomatic at diagnosis ... Therapy with UDCA ... #Cholangitis #diagnosis ... #management #summary
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... - Diagnosis and ... Management Summary ... unclear source (in case ... #Diagnosis #Management
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary ... exclude other causes ... Avoid ARBs β€’ ICD ... deteriorating on medical therapy ... investigative therapy
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
- Scoping Summary ... Infusion = 40mg IV BID ... Assessment and Therapy ... #diagnosis #management ... #algorithm
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Summary 10 percent ... malignant, pediatric cases ... adrenoceptors, potentially leading ... pheochromocytoma: primary therapy ... pheochromocytoma: MIBG therapy
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 β€’ A: Acidosis (usually severe metabolic)
ICU One Pager Summary ... pericarditis, bleeding ... Dialyzer is rigid case ... in the ICU: β€’ IHD ... #RRT #managment
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 β€’ Obturator - inserted into
Emergencies - OnePager Summary ... This can cause life-threatening ... Surgical management ... #Emergencies #diagnosis ... #differential #management
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
Summary of Oncologic ... Simultaneous clotting and bleeding ... Treat underlying cause ... (~25 %) during therapy ... Oncology #HemeOnc #Diagnosis