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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gastroenterology management diagnosis crohns deescalation differential dtt dual indications inflammatroy irritable mimickers mimics perianal proctitis syndrome targeted thiopurine treatment ulcerative
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... refractory to medical therapy ... #IBDAlgorithm # ... IBD #Algorithm #
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm Indication for DTT: • Refractory • Failed multiple
(DTT) in IBD - ... IBD Algorithm ... Severe/Extensive Disease ... #IBDAlgorithm # ... IBD #Algorithm #
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... segmental colitis associated ... NSAIDS, immuno-therapy ... inflammation: IBS ... lymphomas, others) #IBD
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Syndrome (IBS) - ... IBS is NOT a diagnosis ... fewer polyps in IBS ... vs non-IBS! ... EmoryGastroHep #IBS
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 ... +/- EGD, Small Bowel ... → Optimize Therapy ... #Deescalation #IBD
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
extension: - Disease ... Alternative Dx: IBS ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
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