Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Causes of GI Bleed ... , UC/Chrons (IBD ... #GIBleed #differential ... #diagnosis #Causes ... #algorithm
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... β€’ Microscopic colitis ... bowel disease (IBD ... #Causes #Differential
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... sub-classifications lBS-diarrhoea ... of incomplete evacuation ... #Classes #Diagnosis ... #Diarrhea
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID ... disease, ulcerative colitis
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... 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 ... Low #Magnesium #Table ... Classification #Causes
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... to the differential ... abdomen (enteritis, colitis ... Nephrocalcinosis causes ... #Algorithm #differential
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... of diarrhea in ... included in the table ... #Protozoal #causes ... #Differential #
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
her abdomen and lower ... BAR INJURIES: classic ... in over 80% of cases ... pattern on your differential ... consultation, evaluation
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