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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diagnosis gastroenterology uc ulcerative 5asa b12 checkpointinhibitor cobalamin constipation coronavirus covid19 deficiency diverticulosis guide immune microbiology nutrition persistent pneumoniae refractory
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm SCAD: Inflammation of the inter-diverticular mucosa without involvement
Associated with ... Algorithm SCAD ... #IBD #Algorithm ... #IBDAlgorithm # ... management #gastroenterology
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm Loss of Response: • (Re)consult Colorectal Surgery • Assess
Severe Ulcerative Colitis ... - Management Algorithm ... Flex Sig, FCP, CRP ... #Algorithm #IBD ... #Treatment
Persistent UC Symptoms Despite 5-ASA Therapies • Assess for Drug Adherence • Disease Activity Assessment (bloody
diarrhea) • FCP, CRP ... Observation (FCP/CRP ... Escalate Treatment ... JAK Inhibitor Algorithm ... #Management #Algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
incr in 4-35% • CRP ... inflammatory markers (CRP ... , IL-6, TNF-a) associated ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Constipation Management Algorithm What do you mean by constipation? - Infrequent bowel movements, difficult defecation or both?
Algorithm What ... Is constipation associated ... defecation suggests IBS-C ... bowel movements can ... #treatment
Streptocccus Pneumoniae Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative Epidemiology - 10% adult carriers: • Most common cause of:
common cause of: CAP ... Urine antigen in CAP ... Specificity of 97%) Treatment ... addition might be associated ... microbiology #diagnosis #management
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... indicated Diagnostic Evaluation ... , TSH, ESR, CRP ... #diagnosis #management ... #algorithm #IBD
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated ... Check for IF ab Treatment ... Deficiency #diagnosis #management
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