Dr. Gerald Diaz @GeraldMD
30.8M 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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Boerhaave Syndrome on Endoscopy
Another spontaneous esophageal perforation (Boerhaave Syndrome) with gross mediastinal soiling from retching a
Boerhaave Syndrome ... perforation (Boerhaave Syndrome ... DrBloodandGuts #Boerhaave #Syndrome ... perforation #clinical #gastroenterology
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Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Mirizzi's syndrome ... Bouveret's syndrome ... differential #diagnosis #gastroenterology
Management of Necrotizing Pancreatitis

Severe Pancreatitis
Pathophysiology
Diagnosis of Pancreatic Necrosis
Infected Necrosis
Complications of Severe Pancreatitis: 
1) Pancreatic Fistula
2) Disconnected
Pancreatic Duct Syndrome ... Pancreatitis #Management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... diagnosis #management #gastroenterology
Nephritic vs Nephrotic Syndrome

Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes.
Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... Nephritic #Nephrotic #Syndrome
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Aldosterone: Liddle's Syndrome ... SAME, Cushing Syndrome ... diuretics, Bartter syndrome ... , Gitelman syndrom
Dyspepsia Management Algorithm (NICE Guidelines)
 β€’ Alarm Symptoms
 β€’ Endoscopy
 β€’ Imaging
 β€’ Management

Dr. Keith Siau
Algorithm #NICE #gastroenterology
Acute Pharyngitis: Differential Diagnosis
Infectious:
 β€’ Respiratory viruses (25-45%)
 β€’ Group A Strep (5-15%)
 β€’ Other bacteria:
Acute Retroviral Syndrome ... Diffuse viral syndromes ... PFAPA, Behcet syndrome
Gastroesophageal Reflux Disease (GERD) Summary
 - Diagnosis
 - Clinical Workflow
 - PPIs
 - Treatment
 - Acid
Disease #GERD #gastroenterology
Ascaris Lumbricoides (Roundworm) on Colonoscopy

#Ascaris #Lumbricoides #Ascariasis #Roundworm #Colonoscopy #clinical #gastroenterology #parasite
Colonoscopy #clinical #gastroenterology
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