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 deficiency differential b12 vitamin bariatric clinical complications diarrhea fe gastric gastroenterology handlebar injury iron irritablebowelsyndrome management nutrition subclassifications surgery
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 ... Pernicious anemia, Bypass ... differential #diagnosis #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
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
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... Celiac disease, Bypass ... Differential #Diagnosis #Causes ... #Fe #algorithm
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Post Bariatric Intestinal ... common after distal bypass ... (N/V bloating, abd ... causes increased ... an option for bypass
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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