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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Endoscopic Submucosal Dissection (ESD) - Polyp Resection Techniques

Technique:
 β€’ The polyp is then lifted by submucosal
Resection Techniques ... by submucosal injection ... Indications: β€’ ... #Resection #Management ... #gastroenterology
Cold Snare Polypectomy - Polyp Resection Techniques
Technique:
 β€’ Dedicated cold snare grasps polyp and ideally a
Polypectomy - Polyp ... tissue around polyp ... Indications: β€’ ... #Resection #Management ... #gastroenterology
Summary of Infections in which Steroids play a role in treatment
 β€’ TB meningitis
 β€’ TB
Summary of Infections ... pneumonia β€’ COVID ... β€’ Severe lepra reaction ... #Steroids #Indications ... #infections #management
Hot Endoscopic Mucosal Resection (EMR) - Polyp Resection Techniques

Technique:
The polyp is initially lifted by submucosal iniection
(EMR) - Polyp Resection ... by submucosal iniection ... Indications: β€’ ... #EMR #Polyp #Management ... #gastroenterology
Endoscopic Full-Thickness Resection (EFTR) - Polyp Resection Techniques
Technique:
 β€’ Planned resection margins marked thermally. The full-thickness
(EFTR) - Polyp ... The polyp is grasped ... Indications: β€’ ... #Resection #Management ... #gastroenterology
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
the treatment section ... Wuhan Virus") β€’ Infection ... : Coronavirus Disease ... -2, 2019 Novel Coronavirus ... Cheatsheet #Diagnosis #Management
Anti-IL6 Agents (Tocilizumab, Siltuximab) in COVID19

IL-6 activates T cells and macrophages, among other cell types (see
Siltuximab) in COVID19 ... 22% - Infusion reaction ... respiratory tract infection ... #Pharmacology #Management ... #Medications
Endoscopic Mucosal Resection
Injection of solution into submucosal space to separate a mucosal lesion from muscularis propria
Endoscopic Mucosal Resection ... electrosurgery Indication ... removal of colonic polyps ... #endoscopy #gastroenterology ... #management #EMR
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
rate is β‰₯ 7% polyps ... Complex polyps that ... including procedure indication ... AGA #Guidelines #management ... #gastroenterology
Cold Snare Polypectomy
When Should I Use Cold Snare Polypectomy?
 - Cold snare polypectomy should be used
to 10mm - For polyps ... of incomplete resection ... non-dysplastic SSLs - SM injection ... #Polypectomy #gastroenterology ... #management #indications