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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Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
-19 Initial evaluation ... C-reactive protein (CRP ... Book of Critical Care ... #algorithm #schema ... #Diagnosis #SARSCoV2
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
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
COVID-19 Intubation Checklist

Personal protective equipment (PPE)
 β€’ Standard PPE
   β€’ N95 or PAPR.
unavailable, disposable cap ... complete body coverage ... Book of Critical Care ... Intubation #Checklist #SARSCoV2 ... #Management #CriticalCare
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
What is Fecal Occult Blood Testing (FOBT)
 β€’ Screening for colorectal cancer in average risk population
used to smear on card ... for GIB/anemia evaluation ... esophagitis, gastritis, IBD ... Does not change management ... and can lead to
Protocol for Doffing PPE

Wash hands and remove visible bodily fluids/blood contaminants on the outer surfaces at
Protocol for Doffing ... hands and remove cap ... area FAHZU COVID ... Removal #Checklist #Management ... #COVID19 #SARSCoV2
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