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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... #diagnosis #gastroenterology ... #IBDAlgorithm
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 β€’ IBS
 β€’ Fibrostenotic
Response (sLOR) - Differential ... Diagnosis Non-inflammatory ... burden - Low ... LossOfResponse #Differential ... #Diagnosis #Causes
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
IBS is NOT a diagnosis ... Limited trial low ... Rifaximin- up to 3 courses ... apical membranes of intestinal ... epithelial cells intestinal
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
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... consumption β€’ Low ... #Hypokalemia #diagnosis ... #Algorithm #differential
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Chronic diarrhea / IBD ... Hypomagnesemia #Differential ... #Diagnosis #Low ... Classification #Causes
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
- Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... #Diagnosis #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm
Once pseudohypokalemia is ruled out, causes of hypokalemia can be
- Differential ... Diagnosis Algorithm ... filling of bucket (low ... #Hypokalemia #Differential ... #Diagnosis #Algorithm
Hypocalcemia - Differential Diagnosis Algorithm
 β€’ Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Hypocalcemia - Differential ... Diagnosis Algorithm ... sunlight β€’ Other Causes ... #Diagnosis #Algorithm ... #causes
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... consider other diagnosis