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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Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
- IBD Algorithm ... Refractory β€’ Failed multiple ... Severe/Extensive Disease ... #IBD #Algorithm ... gastroenterology #management
Bradycardia Diagnostic and Management Algorithm

CONSIDER ETIOLOGY (not inclusive): 
 - STRUCTURAL: sick sinus, AV block, ischemia,
Algorithm CONSIDER ... cardiomyopathy, dissection ... lyme + tick bome diseases ... LIFE THREATENING CAUSES ... #Differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... presenting with chest/abd ... β€’ Aortic valve disease ... Pulse deficit/differential ... #diagnosis #management
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Receptor (sTfR) to differentiate ... fatigue despite disease ... /other causes β€’ ... #management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
12% β€’ Cardiac: multiple ... case reports of ... associated w severe disease ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Valvular heart disease ... hypertension, multiple ... Avoid ARBs β€’ ICD