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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
Intestinal Manifestations ... HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Functional GI Disorders in IBD - IBD Algorithm

Background:
 β€’ 25-40% of IBD in remission have IBS
- IBD Algorithm ... remission have IBS ... Gastrointestinal #Disorders #IBS ... #IBDAlgorithm # ... IBD #Algorithm #
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Elevated Amylase ... Hyperamylasemia)- Differential ... Diagnosis Algorithm ... sulindac - Active IBID ... #Diagnosis #Algorithm
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
history: β€’ Small intestine ... & small/large intestine ... inflammation: IBS ... lymphomas, others) #IBD ... mimics #mimickers #differential
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
disorders of small intestine ... diarrhea related to IBD ... bariatric, gastric, intestinal ... have spuriously elevated ... low levels - Elevated
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
Function Tests - Differential ... Diagnosis Algorithm ... Ducts - CBD ... kwburak #LFTs #Elevated ... Transaminitis #Algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Adjust IS medications ... PTLD, GVHD or IBD ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
Gall Bladder Ascariasis on POCUS
We do come across Intestinal and CBD worms every now and then,
Ascariasis on POCUS ... do come across Intestinal ... and CBD worms every ... within the GB lumen is ... #GallBladder #POCUS
β–Ί
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... (N/V bloating, abd ... Bariatric surgery is ... and addiction is ... gastroenterology #diagnosis #differential