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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management differential amylase b12 bloodsmear borrelia braindeath checkpointinhibitor cobalamin coronavirus covid19 criticalcare deficiency dizziness dizzy elevated fatigue gibleed guide handlebar
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 ... #differential #diagnosis ... #Causes #algorithm
The 6 C’s of Primary Sclerosing Cholangitis (PSC) PSC is a chronic, cholestatic, immune-mediated disease characterized by
asymptomatic at diagnosis ... • COLITIS - PSC-IBD ... remain subject to clinical ... trial evaluation ... #diagnosis #management
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
- Differential Diagnosis ... Algorithm Pancreatic ... sulindac - Active IBID ... disease, ulcerative colitis ... #Algorithm
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.) Questions regarding the
Algorithm for the ... diagnostic evaluation ... A diagnostic algorithm ... The approach uses ... into one of three clinical
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 Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... fatigue despite clinical ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Evaluation Guide ... Cardiac: multiple case ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... total body stores Evaluation ... consider other diagnosis
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
TBRF is caused by ... subspecies, P. h. capitis ... LBRF can be diagnosed ... can be used for diagnosis ... microscopy #pathology #clinical
Immune Checkpoint Inhibitor-Mediated Colitis Grade of Disease Severity: • G1: Increase < 4 BMs/day over baseline; mild
Inhibitor-Mediated Colitis ... Evaluation: G2- ... CheckpointInhibitor #Colitis ... #diagnosis #management ... #algorithm #IBD
Approach to using the perfusion scan in Brain Death Evaluation Like any diagnostic test, a flow scan
in Brain Death Evaluation ... Like any diagnostic ... in the correct clinical ... death, so in this case ... Perfusion #Scan #Algorithm
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