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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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... IUS Pros (+): no ... #IBD #Algorithm ... #IBDAlgorithm #
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
bowel syndrome (IBS ... sub-classifications lBS-diarrhoea ... of incomplete evacuation ... (IBS-U) - <25% ... #Classes #Diagnosis
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 ... Workup #Management #Algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
intrinsic factor, IF) Clinical ... loss β€’ If anemia is ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation ... Algorithm Before ... hypokalemia is ... Laxative use β€’ Diarrhea ... Hypokalemia #diagnosis #Algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Evaluation Guide ... 20% β€’ GI: N/V, diarrhea ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... into meaningful clinical ... Alternative causes ... phenobarbital use is ... a center that is
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Strongyloides Stercoralis on sputum microscopy
As many suggested this was strongyloides stercoralis hyperinfection syndrome.
Infection is initiated by
Infection is initiated ... symptoms: - GI: diarrhea ... Classic culprits ... in stool/sputum is ... sputum #microscopy #clinical
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≀6 months old on day β‰₯7
Evaluation of suspected ... systemic inflammation is ... Check for classic ... Echo is considered ... If echo is positive
Perforated Gastric Ulcer on Abdominal POCUS
Not all FASTs are simple. Take a look at this! There
There is complex ... The layering is ... classic. ... EFAST is a great ... protocol for evaluating
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