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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Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Limited trial low ... Rifaximin- up to 3 courses ... epithelial cells intestinal ... #Irritable #Bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel ... Limited trial low ... Rifaximin- up to 3 courses ... epithelial cells intestinal ... #Irritable #Bowel
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Chronic diarrhea / IBD ... Differential #Diagnosis #Low ... Classification #Causes ... #Workup #hypomg
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Cardiac: multiple case ... normal, can be low ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... bolus to the small bowel ... (N/V bloating, abd ... Tx: Small and low ... Gastric bypass causes
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
full infectious work-up ... acid, high LDH, low ... high d-dimer, low ... Treat underlying cause ... urinary retention, bowel
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... is sent to CT abd ... in over 80% of cases ... falling from a low ... injuries to the small bowel
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