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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Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Algorithm What ... - Infrequent bowel ... defecation suggests IBS-C ... #Management #Algorithm ... gastroenterology #treatment
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: β€’ Bowel ... colitis, UC/Chrons (IBD ... differential #diagnosis #Causes ... #algorithm
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 ... by defaecation IBS-constipation ... alternate between constipation ... #Classes #Diagnosis
Irritable Bowel Syndrome (IBS) Management Algorithm
Step 1: Good communication, dietary and lifestyle advice
Abdominal Pain:
 β€’ 1st
Irritable Bowel ... Algorithm Step ... eg TCA or SSRI Constipation ... #Management #Algorithm ... #Treatment
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
Pointes - Management Algorithm ... , sotalol) β€’ Propofol ... Hypocalcemia (rarely) Treatment ... 1b (lidocaine)- case ... TDP #Management #Algorithm
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
nutrients β€’ TPN for treatment ... bolus to the small bowel ... (N/V bloating, abd ... Gastric bypass causes ... excluded limb β€’ Treatment