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 cobalamin deficiency management vitamin abg acid acidbase bariatric base bloodgas bypass clinical complications coronavirus covid19 diseases disorders fat fatigue
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 ... Deficiency #Cobalamin #differential ... #diagnosis #causes
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... - Differential ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... #Diagnosis #Causes
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... Monitor & correct B12 ... (B12, MMA) for ... /other 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 ... Lower #GIBleed #differential ... #algorithm
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
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Lung Disease - Differential ... Diagnosis Algorithm ... Lung #Diseases #ILD ... #Causes #Differential ... #Diagnosis #Algorithm
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Differentials? ... HCO3)} Normal = 12 ... D-lactate (short bowel ... syndrome, intestinal ... Base #Gas #VBG #differential
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... only symptom 3-12% ... Cardiac: multiple case ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Post Bariatric Intestinal ... bolus to the small bowel ... (N/V bloating, abd ... Gastric bypass causes ... gastroenterology #diagnosis #differential
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... in over 80% of cases ... injuries to the small bowel ... pattern on your differential ... consultation, evaluation
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