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
of HIV, IBD in ... HIV - IBD Algorithm ... HIV + IBD Treatment ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Rifaximin- up to 3 courses ... apical membranes of intestinal ... epithelial cells intestinal ... #Irritable #Bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel ... β€’ Rome IV Criteria ... Rifaximin- up to 3 courses ... epithelial cells intestinal ... #Irritable #Bowel
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm
Differential Diagnosis for Generalized Lymphadenopathy

Viral
β€’ HIV 
β€’ EBV 
β€’ CMV 
β€’ HBV 
β€’ Dengue 
β€’ Rubella
Lymphadenopathy Viral β€’ HIV ... EBV β€’ CMV β€’ HBV ... β€’ Crypto Protozoal ... Differential #Diagnosis #Causes ... #Algorithm #Oncology
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 β€’ Autoimmuneβ€” PBC, PSC
 β€’ Infectionβ€” liver
Causes of Fat Malabsorption ... β€” liver fluke, HIV ... choledocho/ithiasis Intestinal ... Celiac disease β€’ IBD ... Tropical sprue β€’ HIV
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID ... Celiac disease / HIV
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... : IV Fe > PO FE ... IV FE formulations ... /other causes β€’ ... #Algorithm #diagnosis
Important causes of diarrhea in people with HIV/AIDS
Severity, chronicity/persistence will depend On CD4 count & sites
Important causes ... in people with HIV ... Coccidioides 4) Protozoal ... Washington University ID ... Differential #Diagnosis #Causes
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... of diarrhea in HIV ... Washington University ID ... Questions @WuidQ #Protozoal ... #causes #diarrhea