Dr. Gerald Diaz @GeraldMD
48.6M 14.2K 7.5K
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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8 results
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 β€’
Management of Low ... Mild Severity) Crohns ... Discovered on Endoscopy ... #Disease #Management ... LowRisk #Mild #Gastroenterology
Endoscopic Mucosal Resection
Injection of solution into submucosal space to separate a mucosal lesion from muscularis propria
Endoscopic Mucosal ... electrosurgery Indication ... - Consider EMR ... #gastroenterology ... #management #EMR
Indications for ERCP
1. Biliary Tract Diseases:
 β€’ Biliary obstruction: Choledocholithiasis, Malignant biliary strictures, Benign biliary strictures
Indications for ... Biliary Tract Diseases ... Stone extraction, Endoscopic ... papilla #ERCP #Indications ... #management #gastroenterology
Factors Indicating Low Risk Disease Severity in Crohn's Disease 
 β€’ Limited anatomic involvement 
 β€’
Factors Indicating ... Severity in Crohn's ... burden Factors Indicating ... mucosal lesions on endoscopy ... #RiskFactors #Gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... VCE, FCP, CRP, ESR ... β€’ Active Disease ... #gastroenterology ... #indications
Hot Endoscopic Mucosal Resection (EMR) - Polyp Resection Techniques

Technique:
The polyp is initially lifted by submucosal iniection
Hot Endoscopic Mucosal ... Resection (EMR) ... Indications: β€’ ... #Polyp #Management ... #gastroenterology
Probiotics Guidelines
Adults with C difficile infection
 β€’ Recommendation: Only in the context of a clinical trial
Children with Crohn's ... disease β€’ Recommendation ... Probiotics #Guidelines #gastroenterology ... #indications #recommendations ... #management #evidence
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
Colitis Grade of Disease ... β€’ Endoscopy ( ... urgent β€’ Imaging: Cross-sectional ... Imaging (MR/CT) ... Colitis #diagnosis #management