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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Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Variceal Bleeding - Diagnosis ... and Management ... performed within 12 ... TIPS β€’ Pre-TIPS evaluation ... #Management #treatment
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
only symptom 3-12% ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated ... consider other diagnosis ... #management #nutrition
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Endoscopy in Non-Variceal ... GBS, high sens. >12 ... Infusion = 40mg IV BID ... #diagnosis #management ... #algorithm
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
intervention indicated Diagnostic ... Evaluation: G2- ... β€’ Endoscopy ( ... #management #algorithm ... #IBD