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 differential gastroenterology ibs irritable syndrome treatment b12 bariatric bypass cardiology clinical cobalamin complications deficiency diarrhea fat fatigue gastric gibleed
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel ... Management Global ... Rifaximin- up to 3 courses ... #Irritable #Bowel ... #Syndrome #Management
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Diagnosis and Management ... Rifaximin- up to 3 courses ... epithelial cells intestinal ... #Irritable #Bowel
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... length • Short bowel ... Differential #Diagnosis #Causes
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: • Bowel ... colitis, UC/Chrons (IBD ... differential #diagnosis #Causes ... #algorithm
Algorithm for the Management of Ventricular Tachycardia Electrical Storm ES diagnosed (≥ 3 episodes of VT/ICD therapies
Algorithm for the ... Management of Ventricular ... of reversible causes ... #Tachycardia #Algorithm ... #Management #VTach
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis ... #management
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
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 ... Deficiency #diagnosis #management
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Post Bariatric Intestinal ... bolus to the small bowel ... (N/V bloating, abd ... Gastric bypass causes
Evaluation and Management of Hypokalemia Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... Evaluation begins ... Most cases of hypokalemia-induced ... important because management ... #Algorithm
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