Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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diagnosis differential deficiency classification iron low nephrology nutrition workup alkalosis anemia b12 boweldisease chloride cobalamin coronavirus covid19 fe folate folicacid
Chronic Diarrhea Differential Diagnosis • Inflammatory, Infectious: Recurrent C. diff, Giardiasis • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Giardiasis • Inflammatory ... Non-infectious: IBD ... • Dysmotility: IBS ... #Diagnosis #causes
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis Non-inflammatory mechanisms: • IBS • Fibrostenotic
IBD - Assessment ... mechanisms: • IBS ... Other (bile salt diarrhea ... mechanisms, Non-IBD ... Differential #Diagnosis #Causes
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... bowel syndrome (IBS ... bowel disease (IBD ... #Diarrhea #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
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Infectious colitis, UC/Chrons ... (IBD), Radiation ... differential #diagnosis #Causes ... #algorithm
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Elite athletes • Chronic ... Celiac disease • Inflammatory ... Disease (IBD, cancer ... differential #diagnosis #causes
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... inflammatory conditions ... Differential #Diagnosis #Causes ... #Fe #algorithm
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 • Diarrhea
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... - Chronic diarrhea ... / IBD Renal Loses ... 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
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