Dr. Gerald Diaz @GeraldMD
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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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TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
) sub-classifications ... lBS-diarrhoea ... of incomplete evacuation ... #Classes #Diagnosis ... #Diarrhea
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Diarrhea - Differential ... bowel syndrome (IBS ... bowel disease (IBD ... #Causes #Differential ... #inflammatory #classification
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Workup #Management #Algorithm ... Transplant #diagnosis #differential
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... wasting from other causes ... Laxative use β€’ Diarrhea ... #differential #
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... / IBD Renal Loses ... Hypomagnesemia #Differential ... Magnesium #Table #Classification ... #Causes #Workup
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... IDA and active IBD ... /other causes β€’
Algorithm for the diagnostic evaluation of dizziness. (HINTS = head-impulse, nystagmus, test of skew.)
Questions regarding the
Algorithm for the ... diagnostic evaluation ... The approach uses ... into one of three clinical ... #Differential #
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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Evaluation Guide ... 20% β€’ GI: N/V, diarrhea ... Cardiac: multiple case ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... intrinsic factor, IF) Clinical ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
abd w/contrast ... in over 80% of cases ... pattern on your differential ... consultation, evaluation ... Trauma #Injury #clinical
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