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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Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Risk factors: BMI ... (B12, MMA) for ... #Algorithm #diagnosis ... #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
skin pallor β€’ GI ... diarrhea related to IBD ... total body stores Evaluation ... symptoms β€’ P/E - GI ... #management #nutrition
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
rhinorrhea) <20% β€’ GI ... only symptom 3-12% ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
intervention indicated Diagnostic ... Evaluation: G2- ... 4 β€’ Consult GI ... #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 ... GBS, high sens. >12 ... Infusion = 40mg IV BID ... Summary #Endoscopy #diagnosis ... #management #algorithm