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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... refractory to medical therapy ... #IBDAlgorithm # ... IBD #Algorithm #
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... IBD Algorithm ... Severe/Extensive Disease ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
history: β€’ Small intestine ... & small/large intestine ... : Behcet's disease ... NSAIDS, immuno-therapy ... inflammation: IBS
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
extension: - Disease ... extension β€’ Isolated disease ... CA β€’ Topical therapy ... Alternative Dx: IBS ... diagnosis #management #algorithm