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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hematology anticoagulation diagnosis oncology pharmacology abnormal aub bloodstream cancer cardiology cardiomyopathy catheter chemotherapy crbsi crohns cyp3a4 disease gastroenterology gynecology ibd
Perioperative Management of DOACs Problem: ✖ Each year approximately 250,000 patients on chronic anticoagulation in North America
Perioperative Management ... table ... and procedural bleeding ... with a very low bleeding ... Resumption of Therapy
Treatment algorithm for VTE in Malignancy (A) Suggested treatment algorithm for symptomatic and incidental DVT or PE
Treatment algorithm ... anticoagulant therapy ... DOAC, direct oral ... #DOAC #VTE #Malignancy ... Anticoagulation #Management
(DOAC interactions) Cancer-treatment specific inducers (↑) and inhibitors (↓) of cytochrome p450 CYP3A4 and P-glycoprotein. DOACs are substrates
(DOAC interactions ... ) Cancer-treatment ... thereby leading ... metabolization leading ... #Interactions #Table
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Disease - IBD Algorithm ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... gastroenterology #management ... #treatment
ED Treatment of Abnormal Uterine Bleeding Hemodynamically unstable Resuscitation • ABCs! • Fluids +
ED Treatment of ... Abnormal Uterine Bleeding ... Hemodynamically stable ... for long-term therapy ... #Management #Obstetrics
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Avoid Warfarin and DOAC ... Delivery • Stable ... deteriorating on medical therapy ... investigative therapy ... #cardiology #treatment
Suspected catheter-related bloodstream infection - Management Algorithm • Temperature 37.8 C • Rigors
Algorithm • Temperature ... Hemodynamically stable ... appropriate antibiotic therapy ... after treatment ... #Algorithm #CRBSI
Longterm Venous Thromboembolism Treatment Algorithm Treat for 3 months and reassess • Isolated distal DVT (without cancer)
Thromboembolism Treatment ... Algorithm Treat ... PE - High Bleeding ... - Not High Bleeding ... #Algorithm #management
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