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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9 results
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Receptor (sTfR) to differentiate ... /other causes β€’ ... #Algorithm #diagnosis ... #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #diagnosis #differential
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... Deficiency #diagnosis #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 β€’ 50mcg bolus β†’
Esophageal Variceal Bleeding ... Diagnosis and Management ... unclear source (in case ... TIPS β€’ Pre-TIPS evaluation ... #Diagnosis #Management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... Evaluation: 1. ... presenting with chest/abd ... Pulse deficit/differential ... Dissection #diagnosis #management
Approach to Tracheostomy Emergencies - OnePager Summary
COMPONENTS OF A TRACHEOSTOMY TUBE:
 β€’ Obturator - inserted into
inner diameter (ID ... This can cause life-threatening ... Surgical management ... Emergencies #diagnosis #differential ... #management #pulmonary
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... (N/V bloating, abd ... inuslin release leading ... Gastric bypass causes ... gastroenterology #diagnosis #differential
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Management during ... Period β€’ Breast-feeding ... Avoid ARBs β€’ ICD
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... in over 80% of cases ... Can have intestinal ... pattern on your differential ... consultation, evaluation
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