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
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #diagnosis #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
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
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
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 #
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... Hypomagnesemia #Differential ... Classification #Causes ... #Workup #hypomg
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Hypokalemia Differential ... Algorithm Acidosis ... - RTA - Diarrhea ... #Algorithm #Diagnosis ... #Causes #Workup
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
Diagnosis and Workup ... depending on the cause ... Spondyloarthritis, IBD ... #Differential # ... Causes