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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An evidence-based algorithm to guide the use of MRSA coverage (in community acquired pneumonia) is shown
evidence-based algorithm ... ongoing, thoughtful evaluation ... #Indications #Pneumonia ... #Algorithm #CAP ... Community #Acquired #Management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Clinical Evaluation ... incr in 4-35% β€’ CRP ... inflammatory markers (CRP ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
- Management Algorithm ... Imaging/VCE, FCP, CRP ... Remission > 12mo - Indication ... #algorithm #management ... gastroenterology #indications
What is Fecal Occult Blood Testing (FOBT)
 β€’ Screening for colorectal cancer in average risk population
used to smear on card ... inpatient setting) for indications ... for GIB/anemia evaluation ... esophagitis, gastritis, IBD ... Does not change management
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
patients with COVID ... VV-ECMO β€’ indicatons ... Book of Critical Care ... #management #schema ... hypoxia #failure #algorithm
Relapsing Acute Severe Ulcerative Colitis - Management Algorithm
Loss of Response:
 β€’ (Re)consult Colorectal Surgery
 β€’ Assess
Ulcerative Colitis - Management ... Flex Sig, FCP, CRP ... Diff. & CMV COVID ... #Colitis #UC #Management ... #Algorithm #IBD
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
COVID-19 Intubation ... unavailable, disposable cap ... complete body coverage ... Medications & pre-planned ... Checklist #SARSCoV2 #Management
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
limiting self-care ... indicated Diagnostic Evaluation ... , TSH, ESR, CRP ... Colitis #diagnosis #management ... #algorithm #IBD