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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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
incr in 4-35% β€’ CRP ... inflammatory markers (CRP ... UCSF COVID-19 ID ... Guide #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 ... MRSA #Coverage #Indications ... #Pneumonia #Algorithm ... #CAP #Community
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
De-escalation and IBD ... IBD Patient on ... Imaging/VCE, FCP, CRP ... Remission > 12mo - Indication ... gastroenterology #indications
Algorithm for the Evaluation of CARP Pouchitis and Pouch Disorders - Recurrent Pouchitis on Pouchoscopy &
Evaluation of CARP ... Pouchoscopy & Histology CARP ... Pouch Complex Evacuation ... Waseem_AhmedMD #CARP ... #diagnosis #IBD
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
-19 Initial evaluation ... - CBC with differential ... C-reactive protein (CRP ... Book of Critical Care ... iBookCC #COVID19 #algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... Adjust IS medications ... PTLD, GVHD or IBD ... Transplant #diagnosis #differential
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 ... management and can
Drug Induced Kidney Injury
 β€’ Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
 β€’ Osmotic
therapy, Diuretics CAR-T ... #KidneyInjury #differential ... #diagnosis #algorithm ... #nephrology #Medications
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 ... diagnosis #management #algorithm ... #IBD