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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Acute Severe Ulcerative Colitis (ASUC) - IBD Algorithm

By Dr. Wade Billings @wabillin

#Acute #Severe #Ulcerative #Colitis #ASUC
Acute Severe Ulcerative ... Colitis (ASUC) ... - IBD Algorithm ... #ASUC #IBD #Algorithm ... #IBDAlgorithm #
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... , UC/Chrons (IBD ... Lower #GIBleed #differential ... #diagnosis #Causes ... #algorithm
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes β€’
Orofacial Granulomatosis - Diagnosis and Management Algorithm
Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma
Melkersson-Rosenthal
facial paralysis *Differential ... Dx: Crohn's, Sarcoidosis ... DX - Moderate-Severe ... oral manif. of IBD ... Resolve w Rx of IBD
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 β€’ (Re)consult Colorectal Surgery
 β€’ Assess
Relapsing Acute Severe ... Ulcerative Colitis ... Complication: Cross-Sectional ... Relapsing #Ulcerative #Colitis ... #IBD #Treatment
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... β€’ Microscopic colitis ... bowel disease (IBD ... , Crohn's disease
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
recently arrived w/severe ... Mild LFT ↑ This ... caused by Borrelia ... subspecies, P. h. capitis ... Several cases have
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Cardiac: multiple case ... ) associated w severe ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... over baseline; severe ... urgent β€’ Imaging: Cross-sectional ... diagnosis #management #algorithm ... #IBD