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 ... Other (bile salt diarrhea ... mechanisms, Non-IBD ... burden - Low ... #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
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
hypokalemia is ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea ... #differential #
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 - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
Hypokalemia - Differential ... Diagnosis Algorithm ... Gl tract loss (Diarrhea ... #Diagnosis #Algorithm ... #causes #potassium
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
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... - Differential ... Urine Mg < 10g β€’ Diarrhea ... Hypomagnesemia #Magnesium #Low ... #Causes #Differential
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... Hypomagnesemia #Differential ... #Diagnosis #Low ... Classification #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... - Differential ... ruled out, causes ... filling of bucket (low ... #Causes #workup
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