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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Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #Transplant #diagnosis
Algorithm for the Evaluation of CARP Pouchitis and Pouch Disorders - Recurrent Pouchitis on Pouchoscopy &
Algorithm for the ... Evaluation of CARP ... Pouchoscopy & Histology CARP ... Pouch Complex Evacuation ... #diagnosis #IBD
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... UCSF COVID-19 ID ... UCSF #COVID19 #Evaluation ... #Guide #Diagnosis ... #Algorithm #Protocol
Intraoperative Massive Blood Loss - Guidelines for Crises in Anaesthesia
Expected or unexpected major haemorrhage

❢ Call for
major haemorrhage protocol ... β€’ Use point of care ... ⓬ Plan ongoing care ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
ducts, commonly leading ... asymptomatic at diagnosis ... cancer β€’ CURE - Care ... clinical trial evaluation ... #Cholangitis #diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
full infectious work-up ... days β†’ add fungal work-up ... allopurinol 300 mg BID ... Simultaneous clotting and bleeding ... Oncology #HemeOnc #Diagnosis
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
limiting self-care ... intervention indicated Diagnostic ... Evaluation: G2- ... #management #algorithm ... #IBD
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI Bleeding ... Pre-Endoscopic Care ... Infusion = 40mg IV BID ... Summary #Endoscopy #diagnosis ... #management #algorithm