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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15 results
Perioperative Management of DOACs
Problem:
 βœ– Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... and procedural bleeding ... with a very low bleeding ... Discontinuation of Therapy ... Resumption of Therapy
Treatment algorithm for VTE in Malignancy

(A) Suggested treatment algorithm for symptomatic and incidental DVT or PE
anticoagulant therapy ... at high risk of bleeding ... DOAC, direct oral ... #DOAC #VTE #Malignancy ... Anticoagulation #Management
Lower GI Bleeding - Scoping Summary
 β€’ Hematochezia
 β€’ History and Physical
 β€’ LGI Bleeding and
Lower GI Bleeding ... Physical β€’ LGI Bleeding ... Dual Antiplatelet Therapy ... hematochezia #diagnosis #management ... #algorithm
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Disease - IBD Algorithm ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Approach to Antithrombotic Therapy in Peripheral Artery Disease
Increased Ischemic Risk:
 β€’ Prior MI
 β€’ Diabetes
 β€’
Antithrombotic Therapy ... smoker Increased Bleeding ... Antithrombotic #management ... #therapy #dapt ... #antiplatelet #algorithm
IBD Therapy De-escalation - IBD Algorithm

Dr. Wade Billings @wabillin

#IBD #Therapy #Deescalation #Deprescribing #IBDAlgorithm #IBD #Algorithm #gastroenterology
IBD Therapy De-escalation ... - IBD Algorithm ... Deprescribing #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 β€’ Triple therapy = increased bleeding
= increased bleeding ... - Bleeding ... Unclear if reduced bleeding ... due to use of DOAC ... #pharmacology #management
Hyperthyroidism (low TSH, High T4/T3) - Diagnostic Algorithm

Radioactive iodine scan – get if concern for nodular
) - Diagnostic Algorithm ... if concern for nodular ... pregnant or breast feeding ... workup choices AND management ... Hyperthyroid #Diagnosis #Algorithm
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Esophageal Variceal Bleeding ... PRINCIPLES OF MANAGEMENT ... Vasoconstrictor therapy ... - Refractory Bleeding ... #algorithm #VARICEALB
Weaning from the Ventilator - Algorithm
Setting up for extubation success
 β€’ Decrease demand β€” correct metabolic
the Ventilator - Algorithm ... strength β€” physical therapy ... Optimize Nutrition β€” feeding ... Weaning #Ventilator #Algorithm ... #CriticalCare #Management