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 management differential aafp amylase b12 cobalamin deficiency fatigue folate folicacid gibleed homocysteine hyperamylasemia lower macrocytic macrocytosis mild mma moderate
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... #algorithm
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... , Anemia • Prevalence ... Crohn's > UC Anemia ... /other causes • ... #Algorithm #diagnosis
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Elevated Amylase ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID ... disease, ulcerative colitis
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Mild-to-Moderate Ulcerative Colitis ... Budesonide and UC ... Budesonide Foam PR, Enema ... #UC #Management ... #treatment #IBD
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 ... reticulocyte count is elevated ... also causes an
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... diarrhea related to IBD ... total body stores Evaluation ... have spuriously elevated ... low levels - Elevated
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