Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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 cobalamin deficiency diarrhea management vitamin workup aafp anemia chronic clinical fatigue folate folicacid gibleed handlebar homocysteine hypomagnesemia hypomg
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Insufficiency Intestine ... Celiac disease, IBD ... differential #diagnosis #causes
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
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes •
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... bowel syndrome (IBS ... bowel disease (IBD ... Chronic #Diarrhea #Causes ... #inflammatory #classification
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... bariatric, gastric, intestinal
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Excessive GI losses ... Chronic diarrhea / IBD ... Magnesium #Table #Classification ... #Causes #Workup
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
) sub-classifications ... (IBS-D) - >25% ... of incomplete evacuation ... (IBS-M) - >25% ... #Classes #Diagnosis
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 ... #Homocysteine #Algorithm
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
abd w/contrast ... BAR INJURIES: classic ... in over 80% of cases ... Can have intestinal ... consultation, evaluation
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