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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Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... - Cobalamin Decreased ... Celiac disease, IBD ... #diagnosis #causes
Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table
Ulcerative Collitis
 - Location
Crohn's Disease - IBD ... Comparison Table ... ileum β€’ Most cases ... Crohns #Disease #IBD ... #Comparison #Table
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... β€’ Common Causes ... diarrhea related to IBD ... total body stores Evaluation ... #Deficiency #diagnosis
Upper and Lower Causes of GI Bleed
Upper:
 β€’ 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
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes β€’
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... bowel syndrome (IBS ... (IBS-C) - >25% ... of incomplete evacuation ... #Classes #Diagnosis
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Differential Diagnosis Algorithm ... cancer, ulcer, IBD ... Differential #Diagnosis #Causes ... #Fe #algorithm
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 ... if vitamin B12 deficiency
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
TBRF is caused by ... the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... / serum Na >1 is ... mineralocorticoid deficiency ... differential #diagnosis #table