Dr. Gerald Diaz @GeraldMD
31.1M 13.9K 7.3K
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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C. Difficile Infection in IBD - IBD Algorithm

Background
Complications
CDI Testing Algorithm
CDI Recurrence

Dr. Wade Billings @wabillin

#Clostridioides #difficile #CDiff
Difficile Infection ... Algorithm #Management #Treatment ... #Gastroenterology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (Β± cirrhosis)
months without treatment ... Coagulation Failure Infections ... Cirrhosis #Hepatology #gastroenterology
Inflammatory Bowel Disease (IBD) - Inpatient Management Checklist
History and physical examination
 - Assess for disease severity
- Evaluate for infection ... Initiation of medical treatment ... Inpatient #Management #treatment ... #Checklist #gastroenterology
Refractory Helicobacter Pylori Infection

Causes:
 β€’ Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 β€’ Non-adherence (i.e.
Helicobacter Pylori Infection ... leads to more treatment ... Helicobacter #Pylori #Infection ... management #algorithm #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
nutrients β€’ TPN for treatment ... complication rate (i.e. infections ... excluded limb β€’ Treatment ... TypicallySilent via Emory Gastroenterology ... gastric #bypass #gastroenterology
Fundic gland polyps on Endoscopy
46 yo F. with hx of 8 months of abdominal pain with
response to medical treatment ... rates of H. pylori infection ... EGD #clinical #gastroenterology
β–Ί
Protein Losing Enteropathy
Clinical Presentation:
 β€’ Volume overload: Peripheral edema, pleural effusion or ascites.
 β€’ Gl symptoms
susceptibility infections ... Primary or secondary Treatment ... 1.5 - 3 g/kg) β€’ Treatment ... diagnosis #management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
antibiotic use, infections ... third of esophagus Treatment ... : - Treatment of ... diagnosis #management #gastroenterology
Probiotics Guidelines
Adults with C difficile infection
 β€’ Recommendation: Only in the context of a clinical trial
with C difficile infection ... on antibiotic treatment ... Children with acute infectious ... Probiotics #Guidelines #gastroenterology
IDSA Aspergillosis Treatment
 β€’ Invasive pulmonary aspergillosis (IPA)
 β€’ CNS aspergillosis
 β€’ Cardiac Aspergillus infection
 β€’
Aspergillosis Treatment ... Cardiac Aspergillus infection ... β€’ Aspergillus infections ... of eye Infectious ... Aspergillosis #Treatment