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
Functional GI Disorders ... in IBD - IBD Algorithm ... structure β€’ Disordered ... #IBS #IBDAlgorithm ... #IBD #Algorithm
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Chronic fistula has ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management #treatment
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
What is the difference ... completely different disorders ... scripts and initial treatment ... algorithms. ... differences #diagnosis #table
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 ... COWS is >12, AND ... Opioid #Withdrawal #Algorithm
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 ... Phenobarbital monotherapy has ... the underlying disorder ... a center that is ... #Protocol #PulmCrit
β–Ί
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 ... anticoagulation #guidelines
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
of Opioid Use Disorder ... Buprenorphine - Comparison Table ... medication assisted treatment ... after a patient has ... Hospital Opioid Use Treatment
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... treating opioid use disorder ... stable on methadone ... as first-line treatment ... #Algorithm #Addiction
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Aortic dissection is ... presenting with chest/abd ... Connective tissue disorder ... deficit β€’ Shock Treatment ... 100-120, Target MAP
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