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 b12 cobalamin deficiency management vitamin clinical diarrhea differential fatigue folate folicacid handlebar homocysteine injury irritablebowelsyndrome macrocytic macrocytosis mma nutrition
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 ... Stomach: Pernicious anemia ... 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
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
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... and IBD Pearls: ... IDA and active IBD ... fatigue w/ active IBD ... /other causes •
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
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 ... Can have intestinal ... consultation, evaluation
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