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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
- IBD Algorithm ... Chronic fistula has ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management #treatment
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
50% β€’ URI sx (HA ... Taste or smell disorder ... associated w severe disease ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... Connective tissue disorder ... β€’ Aortic valve disease ... deficit β€’ Shock Treatment ... 100-120, Target MAP
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
dysfunction, and/or disorders ... diarrhea related to IBD ... , celiac disease ... , intestinal), alcohol ... Check for IF ab Treatment
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
nutrients β€’ TPN for treatment ... (N/V bloating, abd ... after RYGB β€’ Disorder ... Liver Disease in ... metronidazole β€’ Alcohol
Alcohol Use Disorder - Maintenance Treatment
Naltrexone (first line) - First line for most people without contraindications
Alcohol Use Disorder ... Dosing: Goal 150 mg BID ... if naltrexone had ... safe in liver disease ... #Use #Disorder