Dr. Gerald Diaz @GeraldMD
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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
Algorithm β€’ ... Chronic fistula has ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
- IBD Algorithm ... Indication for ... Targeted #Therapy #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #Management #Algorithm
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Pearls: β€’ IDA ... differentiate IDA ... report dehydration as ... #management
IDSA Recommendations for Preventing and Treating Penicillium marneffei Infections in HIV-AIDS
Preventing 1st Episode of Penicilliosis (Primary
IDSA Recommendations ... , 3 to 5 mg/kg/day ... itraconazolea 200 mg PO BID ... Penicilliosis #IDSA ... Prevention #Treatment #management
An evidence-based algorithm to guide the use of MRSA coverage (in community acquired pneumonia) is shown
evidence-based algorithm ... ongoing, thoughtful evaluation ... that the patient has ... MRSA #Coverage #Indications ... Community #Acquired #Management
IDSA Algorithm for the Management of Purulent skin and soft tissue infections (SSTIs). 
Mild infection: for
IDSA Algorithm for ... the Management ... approved for this indication ... #SSTIs #Algorithm ... #Management #skin
What is Fecal Occult Blood Testing (FOBT)
 β€’ Screening for colorectal cancer in average risk population
longer recommended as ... inpatient setting) for indications ... for GIB/anemia evaluation ... esophagitis, gastritis, IBD ... Does not change management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... diarrhea related to IBD ... total body stores Evaluation ... reticulocytosis in several days ... Deficiency #diagnosis #management
IDSA Recommendations for Preventing and Treating Histoplasma Capsulatum Infections in HIV-AIDS
Indications for Initiating Primary Prophylaxis:
 β€’
IDSA Recommendations ... mg PO TID for 3 days ... , then BID for at ... Histoplasmosis #IDSA ... Prevention #Treatment #management