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 management b12 cobalamin gastroenterology vitamin workup bariatric calcium classification clinical complications elevated endocrinology fe gastric granulomatosis handlebar hypercalcemia
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 ... Deficiency #Cobalamin #differential
Asymptomatic Ileitis - IBD Algorithm • Found on 0.1-21% of non-diagnostic colonoscopies • Low likelihood of
Asymptomatic Ileitis ... - IBD Algorithm ... colonoscopies • Low ... #Ileitis #IBDAlgorithm ... #IBD #Algorithm
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
- Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... Celiac disease, Bypass
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 ... causes increased ... gastroenterology #diagnosis #differential
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... wasting from other causes ... consumption • Low ... #differential #
Hypercalcemia Evaluation 1) Clinical clues - Is the patient symptomatic? - Family history? - Have you done
1) Clinical clues ... - Is the patient ... symptomatic? ... FeCa <1 %) - Low ... Hypercalcemia #workup #differential
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
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
Orofacial Granulomatosis - Diagnosis and Management Algorithm Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma Melkersson-Rosenthal
facial paralysis *Differential ... or develop CD Low ... oral manif. of IBD ... oral mucosa • Asymptomatic ... Resolve w Rx of IBD
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... abd w/contrast ... falling from a low ... pattern on your differential ... consultation, evaluation
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