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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management diagnosis treatment ulcerative differential inflammatory table 5asa boweldisease chronic classification coronavirus covid19 crohns diets evaluation fatigue gibleed guide lower
Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table Ulcerative Collitis - Location
Ulcerative Colitis ... - IBD Comparison ... ileum • Most cases ... #IBD #Comparison ... #Table #UC
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
Drug Adherence • Disease ... Assessment (bloody diarrhea ... > non-bloody diarrhea ... Infection, Cdiff Mild ... JAK Inhibitor Algorithm
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... #algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Severe Ulcerative Colitis ... Adherence • Assess Disease ... surgery: Fulminant UC ... #UC #Management ... #Algorithm #IBD
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... • Microscopic colitis ... (IBD): Ulcerative ... colitis, Crohn's
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Ulcerative Colitis ... Budesonide and UC ... dosing if liver disease ... #UC #Management ... #IBD
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... Prevalence Crohn's > UC ... Anemia and IBD ... IDA and active IBD ... /other causes •
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
20% • GI: N/V, diarrhea ... associated w severe disease ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Diets and Inflammatory Bowel Disease (IBD) Diet affects IBD by 3 mechanisms 1. Microbiome ( ↓ diversity) 2. Mucosal
(IBD) Diet affects ... IBD by 3 mechanisms ... diet therapy CD > UC ... cheeses, yogurts • IBD-Anti-inflammatory ... #BowelDisease #IBD
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