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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21 results
Perioperative Management of DOACs
Problem:
 βœ– Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... per treatment table ... and procedural bleeding ... with a very low bleeding ... Resumption of Therapy
(DOAC interactions) Cancer-treatment specific inducers (↑) and inhibitors (↓)
of cytochrome p450 CYP3A4 and P-glycoprotein.

DOACs are substrates
(DOAC interactions ... DOACs are substrates ... thereby leading ... metabolization leading ... #Interactions #Table
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
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
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
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
Dual Targeted Therapy (DTT) in IBD - IBD Algorithm

Indication for DTT:
 β€’ Refractory
 β€’ Failed multiple
Dual Targeted Therapy ... ) in IBD - IBD Algorithm ... #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
Colorectal Dysplasia in IBD - IBD Algorithm

When / How to Screen for Dysplasia in IBD
New AGA
Dysplasia in IBD - IBD Algorithm ... in IBD New AGA Classification ... Colorectal #Dysplasia #IBDAlgorithm ... #IBD #Algorithm ... Gastroenterology #Management