Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
, cholestatic, immune-mediated ... there are many indications ... cancer • CURE - Care ... clinical trial evaluation ... #diagnosis #management
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
An evidence-based algorithm to guide the use of MRSA coverage (in community acquired pneumonia) is shown
evidence-based algorithm ... ongoing, thoughtful evaluation ... MRSA #Coverage #Indications ... #CAP #Community ... #Acquired #Management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
incr in 4-35% • CRP ... inflammatory markers (CRP ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
What is Fecal Occult Blood Testing (FOBT)
 • 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
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 • G1: Increase < 4 BMs/day over baseline; mild
Immune Checkpoint ... indicated Diagnostic Evaluation ... , TSH, ESR, CRP ... Colitis #diagnosis #management ... #algorithm #IBD
Pyoderma Gangrenosum (PG)
50 M Crohn’s dz had a small pustule on the ankle 4 mo ago
conditions such as IBD ... components of immune ... Management of PG ... including wound care ... therapy, & systemic medications