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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IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 β€’ IBS
 β€’ Fibrostenotic
Other (bile salt diarrhea ... mechanisms, Non-IBD ... burden - Low ... @JeanDonet #IBD ... Differential #Diagnosis #Causes
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
sub-classifications lBS-diarrhoea ... of incomplete evacuation ... constipation and diarrhoea ... #Classes #Diagnosis ... #Diarrhea
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... Guide - Updated ... 20% β€’ GI: N/V, diarrhea ... UCSF COVID-19 ID ... #Algorithm #Protocol
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... - Chronic diarrhea ... / IBD Renal Loses ... Differential #Diagnosis #Low ... Classification #Causes
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... the most likely cause ... recovery also causes ... #Workup #AAFP
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... papillae of tongue), abd ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... Differential #Diagnosis #Causes ... #Fe #algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... Congenital chloride diarrhea ... alkalosis β€’ Normal/low ... the indicated causes ... Chloride #urine #Algorithm
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... abd w/contrast ... BAR INJURIES: classic ... in over 80% of cases ... consultation, evaluation
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