Dr. Gerald Diaz @GeraldMD
49.8M 14.4K 7.6K
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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Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency - Cobalamin ... Insufficiency Intestine ... Celiac disease, IBD ... Pernicious anemia, Bypass
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 ... bariatric, gastric, intestinal
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... Celiac disease, Bypass ... #Fe #algorithm
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... (N/V bloating, abd ... Tx: Small and low ... causes increased ... operative CCY risk is low
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... Cardiac: multiple case ... normal, can be low ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
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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