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
IBD - Assessment ... mechanisms: β€’ IBS ... Other (bile salt diarrhea ... mechanisms, Non-IBD ... #Diagnosis #Causes
Chronic Diarrhea Differential Diagnosis
 β€’ Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 β€’ Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Differential Diagnosis ... Non-infectious: IBD ... β€’ Dysmotility: IBS ... #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
Common causes of post-Transplant Diarrhea
 β€’ Bacterial: Clostridium difficile, Campylobacter spp., Salmonella spp., Bacterial overgrowth, Aeromonus
Common causes of ... post-Transplant Diarrhea ... Other: GVHD, PTLD, IBD ... #diagnosis #differential ... #causes
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
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 ... Laxative use β€’ Diarrhea ... #differential #
AAFP - Tremor Evaluation -> Rule out Inorganic Cause
Crawford, P, Zimmerman, EE. Differentiation and Diagnosis of
AAFP - Tremor Evaluation ... out Inorganic Cause ... Inorganic #Nonorganic #Causes ... #Differential # ... Algorithm
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... bowel syndrome (IBS ... bowel disease (IBD ... #Causes #Differential
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes β€’
A quick way to consider causes of PEA arrest (or severe hypotension) is to consider: Volume
way to consider causes ... severe hypotension) is ... Obstruction, and then 3 causes ... Diagnosis #PEAArrest #Differential ... #Evaluation #Algorithm