Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
- Annual US or MRCP ... /- AFP CRC - IBD ... Colonoscopy @ diagnosis ... #Surveillance #Gastroenterology ... #Management #Diagnosis
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
certain foods or meds ... , Consider diagnostic ... diet), Endoscopy (EGD ... +/- ERCP +/- colonoscopy ... #differential #
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Hyperamylasemia)- Differential ... Diagnosis Algorithm ... pancreatitis: eg ... fibrosis - Post ERCP ... sulindac - Active IBID
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
asymptomatic at diagnosis ... judicious use of ERCP ... liver disease management ... #Cholangitis #diagnosis ... #management #summary
Basics of Biliary Strictures on Endoscopy
 - Causes of Biliary strictures
 - Benign Strictures Classification
 -
Classification - Diagnostic ... Cholangioscopy - Stricture Management ... Endoscopy #Basics #EGD ... #diagnosis #management ... #ercp #gastroenterology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Colonoscopy +/- EGD ... PTLD, GVHD or IBD ... Algorithm #Transplant #diagnosis ... #differential
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... mucosa Stricture Management ... ENTEROSCOPE - Diagnostic ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Marfans, EDS ... Pulse deficit/differential ... Shock Treatment - ED ... Aortic #Dissection #diagnosis ... #management #vascular
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
Ulceration The diagnosis ... of IBD can’t be ... Eosinophilic, CVID, Hyper IgD ... #differential # ... gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
(N/V bloating, abd ... risk is low • ERCP ... TypicallySilent via Emory Gastroenterology ... gastric #bypass #gastroenterology ... #diagnosis #differential