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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm β€’ ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... @wabillin #IBD ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... (DTT) in IBD - ... IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... segmental colitis associated ... NSAIDS, immuno-therapy ... inflammation: IBS ... lymphomas, others) #IBD
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management Algorithm ... Is constipation ... associated with ... defecation suggests IBS-C ... Constipation #Management #Algorithm
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
Irritable bowel ... (IBS-D) - >25% ... of incomplete evacuation ... - Associated ... the criteria for IBS-C
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
Segmental Colitis Associated ... Diverticulosis - IBD ... Algorithm SCAD ... Diverticulosis #IBD ... #Algorithm #IBDAlgorithm
Inflammatory Bowel Disease (IBD) - Inpatient Management Checklist
History and physical examination
 - Assess for disease severity
Inflammatory Bowel ... Disease (IBD) - ... Preparation for rescue therapy ... Radiographic evaluation ... medical treatment #IBD
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... IBD Patient on ... +/- EGD, Small Bowel ... Disease β†’ Optimize Therapy ... #Deescalation #IBD
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Empiric therapy ... Workup #Management #Algorithm