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
Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding

Classification
for Describing Endoscopic ... and Predicting Risk ... - Therapy - Rebleeding ... #Endoscopy #EGD ... #Risk #Rebleeding
Lower GI Bleeding - Scoping Summary
 β€’ Hematochezia
 β€’ History and Physical
 β€’ LGI Bleeding and
Dual Antiplatelet Therapy ... β€’ Risk Stratification ... #Summary #Endoscopy ... hematochezia #diagnosis #management ... #algorithm
Endoscopic Therapy in Upper Gastrointestinal Bleeding

 β€’ Risk Stratification
 β€’ Red Blood Cell Transfusion
 β€’ Pre-Endoscopic
Endoscopic Therapy ... Gastrointestinal Bleeding ... β€’ Risk Stratification ... Therapy β€’ Post-Endoscopy ... Medical Management
Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Disease - IBD Algorithm ... fistula β€’ ↑ risk ... refractory to medical therapy ... Crohns #Disease #IBDAlgorithm ... gastroenterology #management
Approach to Antithrombotic Therapy in Peripheral Artery Disease
Increased Ischemic Risk:
 β€’ Prior MI
 β€’ Diabetes
 β€’
Antithrombotic Therapy ... β€’ Prior bleeding ... Antithrombotic #management ... #therapy #dapt ... #antiplatelet #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
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse β‰₯ 20,000/uL
 β€’ Paracentesis, EGD or
Prophylactic variceal bleeding ... polypectomy, Capsule endoscopy ... Bougie dilation, Endoscopic ... , Locoregional therapy ... thresholds #targets #management
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Upper GI Bleeding ... sens. >12 inc. risk ... Assessment and Therapy ... #diagnosis #management ... #algorithm
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
Treatment algorithm for VTE in Malignancy

(A) Suggested treatment algorithm for symptomatic and incidental DVT or PE
anticoagulant therapy ... patients at high risk ... of bleeding. ... risk during follow-up ... Anticoagulation #Management