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 b12 cobalamin management vitamin anemia bariatric clinical complications fat fatigue folate folicacid gastric gastroenterology handlebar homocysteine injury iron
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Insufficiency Intestine ... Celiac disease, IBD ... Pernicious anemia, Bypass ... differential #diagnosis #causes
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 Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... Celiac disease, Bypass ... Differential #Diagnosis #Causes ... #Fe #algorithm
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... choledocho/ithiasis Intestinal ... Pancreatic lipase deficiency ... Celiac disease • IBD ... Differential #Diagnosis #Causes
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 ... #Workup #AAFP
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Post Bariatric Intestinal ... common after distal bypass ... bolus to the small bowel ... (N/V bloating, abd ... causes increased
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 ... injuries to the small bowel ... consultation, evaluation
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