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
TABLE 2. ... Irritable bowel ... lBS-diarrhoea (IBS-D ... of incomplete evacuation ... #Classes #Diagnosis
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... common after distal bypass ... bolus to the small bowel ... (N/V bloating, abd ... causes increased
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... total body stores Evaluation
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
BAR INJURIES: classic ... in over 80% of cases ... injuries to the small bowel ... consultation, evaluation ... Trauma #Injury #clinical
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