Dr. Gerald Diaz @GeraldMD
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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 chronic deficiency low workup aortic b12 classes cobalamin coronavirus covid19 dissection fatigue fe gastroenterology guide hypokalemia hypomagnesemia hypomg
Chronic Diarrhea Differential Diagnosis • Inflammatory, Infectious: Recurrent C. diff, Giardiasis • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Non-infectious: IBD ... overgrowth, Celiac disease ... • Dysmotility: IBS ... #Diagnosis #causes
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 • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Diarrhea - Differential ... bowel syndrome (IBS ... (IBD): Ulcerative ... #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 • Diarrhea ... #differential #
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 despite disease ... /other causes •
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
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... #Fe #algorithm
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... pain, diarrhea ... related to IBD, ... celiac disease, ... total body stores Evaluation
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... 20% • GI: N/V, diarrhea ... associated w severe disease ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
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