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 hematology management pancytopenia aortic bariatric bloating bowel bypass complications dissection distension emergencies endo eosinophil eosinophilia gastric hemeonc
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Eosinophil Disorders ... Testing Algorithm ... evaluation or workup ... 1,500 cells/µL Workup ... for secondary causes
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... • Prior GEJ surgery ... Fundoplication, Bariatric surgery ... obstruction (CIPO) Disorders ... Diagnostics and Testing
Pancytopenia - Workup and Differential Diagnosis Algorithm Consumption Disorders 1. Autoimmune Mediated Pancytopenia 2. Splenic Sequestration Peripheral Destruction
Pancytopenia - Workup ... Differential Diagnosis Algorithm ... Consumption Disorders ... Eating disorders ... Bariatric surgery
Pancytopenia - Workup and Differential Diagnosis Algorithm Consumption Disorders 1. Autoimmune Mediated Pancytopenia 2. Splenic Sequestration Peripheral Destruction
Pancytopenia - Workup ... Differential Diagnosis Algorithm ... Consumption Disorders ... Eating disorders ... Bariatric surgery
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Diagnosis and Workup ... strategy with minimal testing ... Criteria - Recurrent abdominal ... allergy/ sensitivity testing ... Pelvic Floor Disorder
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... presenting with chest/abd ... at onset • Tearing ... Connective tissue disorder ... • Cardiac surgery
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
edema, muscle wasting ... (N/V bloating, abd ... minutes to 1hr after eating ... after RYGB • Disorder ... Gastric bypass causes
A blood test and/or 24 hour urine collection for the breakdown product of adrenaline & noradrenaline
medications and disorders ... blood or urine testing ... In certain cases ... Diagnosis #IM #Endo #Surgery ... Pheo #Diagnosis #Algorithm
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
CT abdomen if abdominal ... full infectious work-up ... days → add fungal work-up ... allopurinol 300 mg BID ... Treat underlying cause
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