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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diagnosis b12 cobalamin deficiency management vitamin aafp clinical diarrhea differential fatigue folate folicacid handlebar homocysteine ibs injury irritablebowelsyndrome macrocytic macrocytosis
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Insufficiency Intestine ... Celiac disease, IBD ... Stomach: Pernicious anemia ... differential #diagnosis #causes
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... , Anemia • Prevalence ... Crohn's > UC Anemia ... /other causes • ... #Algorithm #diagnosis
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... bariatric, gastric, intestinal
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
Algorithm for the ... evaluation of macrocytic ... the most likely cause ... recovery also causes ... #Homocysteine #Algorithm
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
Irritable bowel ... lBS-diarrhoea (IBS-D ... (IBS-C) - >25% ... of incomplete evacuation ... #Classes #Diagnosis
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... BAR INJURIES: classic ... in over 80% of cases ... Can have intestinal ... consultation, evaluation
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