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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Functional GI Disorders in IBD - IBD Algorithm

Background:
 β€’ 25-40% of IBD in remission have IBS
in IBD - IBD Algorithm ... #IBS #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management ... #treatment
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Chronic fistula has ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management ... #treatment
Updated phenobarbital alcohol withdrawal protocol

See old algorithm here: https://www.grepmed.com/images/1485/phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol

The protocol was consequently modified as shown below,
See old algorithm ... phenobarbital-monotherapy-withdrawal-management-algorithm-pulmcrit-protocol ... After the patient has ... received sufficient treatment ... #Management #Alcohol
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... the underlying disorder ... and avoid seizure ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm
Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
Treatment Algorithm ... ) Guidelines: β€’ ... heartfailure #diagnosis #management ... #algorithm #cardiology ... #treatment #guidelines
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
treatment of withdrawal ... Patient has an opioid ... use disorder (OUD ... Opioid #Withdrawal #Algorithm ... #Management #Addiction
Antiphospholipid Syndrome (APS)
APS is a rare autoimmune disorder characterized by recurring blood clots resulting from antibodies
rare autoimmune disorder ... to be present Treatment ... (EULAR Guidelines ... β€’ If patient has ... APS #diagnosis #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest/abd ... Connective tissue disorder ... deficit β€’ Shock Treatment ... 100-120, Target MAP ... Dissection #diagnosis #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
/or disorders of ... papillae of tongue), abd ... diarrhea related to IBD ... , intestinal), alcohol ... Check for IF ab 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 ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2