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 differential gastroenterology ibs management bowel deficiency syndrome treatment b12 bariatric bypass classification clinical cobalamin complications coronavirus covid19 diarrhea fe
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel ... Limited trial low ... Rifaximin- up to 3 courses ... epithelial cells intestinal ... #Irritable #Bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Limited trial low ... Rifaximin- up to 3 courses ... epithelial cells intestinal ... #Irritable #Bowel
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... consumption • Low ... potassium #nephrology #low
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Excessive GI losses ... Chronic diarrhea / IBD ... Differential #Diagnosis #Low ... Classification #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 ... lBS-diarrhoea (IBS-D ... (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 ... Pregnancy, Lactation, Low ... Differential #Diagnosis #Causes ... #Fe #algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... Cardiac: multiple case ... normal, can be low ... 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 ... (N/V bloating, abd ... Tx: Small and low ... Gastric bypass causes ... operative CCY risk is low
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... is sent to CT abd ... in over 80% of cases ... falling from a low ... consultation, evaluation
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