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 ... resource & narcotic use ... #IBS #IBDAlgorithm ... #IBD #Algorithm ... #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
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 ... phenobarbital use ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
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
Buprenorphine-Naloxone and treatment of withdrawal symptoms

Prerequisites for starting Suboxone in the ED:

1. Patient has an opioid
Buprenorphine-Naloxone and treatment ... Patient has an opioid ... use disorder (OUD ... Opioid #Withdrawal #Algorithm ... #Management #Addiction
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
dysfunction, and/or disorders ... diarrhea related to IBD ... , intestinal), alcohol ... use, symptoms ... Check for IF ab Treatment
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 ... #Use #Disorder ... #management #pharmacology