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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Complex Perianal Fistulas and Crohn's Disease - Management Algorithm
Factors for Operative Strategy
  β€’ Fistula Classification
Complex Perianal Fistulas ... Disease - Management Algorithm ... Operative Strategy β€’ Fistula ... Classification ... response to standard dosing
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 β€’ Portal vein thrombosis
 β€’ Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... arteriovenous fistula ... Malnutrition β€’ Protein-losing ... #Hepatology #causes
CA-Bridge Buprenorphine Hospital Quick Start Algorithm - Management of acute opiate withdrawal 
 - Any prescriber
Hospital Quick Start Algorithm ... If patient is stable ... Buprenorphine Dosing ... chronic pain split dosing ... Buprenorphine #Treatment #Algorithm
Potassium-Binding Agents to Treat Hyperkalemia
Sodium zirconium cyclosilicate (Lokelma):
 β€’ Mechanism: Preferentially captures K in exchange for
and sodium β€’ Dosing ... 10 g QD (adjust dose ... binds magnesium β€’ Dosing ... and calcium β€’ Dosing ... #pharmacology #table
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
/ IBD Renal Loses ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
Intraoperative Hypertension - Guidelines for Crises in Anaesthesia
Hypertension is most commonly due to inappropriate depth of
reservoir bag moving ... ventilator bellows moving ... see Box C for dose ... syndrome) β€’ Medical causes ... Diagnosis #Management #Workup
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Buprenorphine - Comparison Table ... In these cases, ... Dosing usually begins ... formulation, the dose ... side effects are nausea
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
Guidelines for Crises ... β€’ Consider moving ... until patient is stable ... Guidelines for crises ... Diagnosis #Management #Workup
Rybelsus (oral semaglutide) - First Oral GLP-1 Agonist
Dosing:
3 mg daily x 30 days, then 7 mg
GLP-1 Agonist Dosing ... mg maintenance dose ... oral route by using ... Otherwise, it works ... drug to remain stable
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
relapsing fever caused ... settings with crowding ... TBRF is caused by ... The table below ... treated in a single dose