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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Perianal Crohn's Disease - IBD Algorithm

 • 5-40% w perianal fistula
 • ↑ risk if colonic
Algorithm • ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management #treatment
Functional GI Disorders in IBD - IBD Algorithm

Background:
 • 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management #treatment
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound (IUS ... ) in IBD - IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management Algorithm ... associated with ... defecation suggests IBS-C ... Constipation #Management #Algorithm ... gastroenterology #treatment
Autoimmune Myositis
Necrotizing myopathy is associated with higher CK levels, greater level of muscle weakness, less systemic
Necrotizing myopathy is ... associated with ... less response to therapy ... Classic triad of ILD ... after 2 years of treatment
Ulcerative Proctitis
Proctitis:
 • Affects 1/3 patients
 • Predictors of extension:
     - Disease
CA • Topical therapy ... Alternative Dx: IBS ... prolapse, CD, cancer Treatment ... Tacrolimus rarely associated ... diagnosis #management #algorithm
Management of Anaphylaxis in the Outpatient Setting

In the management of anaphylaxis, administering intramuscular epinephrine and ensuring
suggested office-based protocol ... is shown in Figure ... delivering this therapy ... Anaphylaxis #Outpatient #Algorithm ... #Treatment
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Hypothermia - Protocol for ED
CORE TEMP < 34º
INITIAL THERAPY
 • Remove wet garments
 • Avoid rough
Hypothermia - Protocol ... < 34º INITIAL THERAPY ... IV until temp is ... #management #treatment ... #algorithm