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 differential anemia b12 bariatric bypass clinical cobalamin deficiency diarrhea fat folate folicacid gastric gastroenterology gibleed handlebar homocysteine hypokalemia injury
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... length • Short bowel ... Differential #Diagnosis #Causes
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: • Bowel ... colitis, UC/Chrons (IBD ... differential #diagnosis #Causes ... #algorithm
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
Irritable bowel ... (IBS-D) - >25% ... (IBS-C) - >25% ... of incomplete evacuation ... #Classes #Diagnosis
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... life threatening complications ... hypokalemia is ... wasting from other causes ... suggests extra-renal 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
• Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... bariatric, gastric, intestinal
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Complications after ... Post Bariatric Intestinal ... bolus to the small bowel ... (N/V bloating, abd ... Gastric bypass causes
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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