Dr. Gerald Diaz @GeraldMD
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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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Suggested algorithm for treating irritable bowel syndrome-diarrheal type (IBS-D) 

#IBSD #diarrhea #Algorithm #irritable #bowel #syndrome #management
Suggested algorithm ... treating irritable bowel ... #bowel #syndrome ... #management #treatment ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Irritable Bowel ... Rifaximin- up to 3 courses ... #Irritable #Bowel ... Syndrome #Management #gastroenterology ... #treatment
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
Bowel Ulceration ... The diagnosis of IBD ... Causes of ulceration ... #diagnosis #differential ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel ... for diagnosis Treatment ... Rifaximin- up to 3 courses ... #Irritable #Bowel ... #treatment
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Constipation Management Algorithm ... defecation suggests IBS-C ... Constipation #Management #Algorithm ... #gastroenterology ... #treatment
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... disease (IBD): ... Ulcerative colitis ... #Differential #
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID ... celiac disease, ulcerative
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: β€’ Bowel ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #algorithm
Eosinophil Disorders Testing Algorithm
INDICATIONS FOR TESTING:
 β€’ Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Disorders Testing Algorithm ... for secondary causes ... glucocorticoid treatment ... #Differential # ... diagnosis #hematology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
nutrients β€’ TPN for treatment ... bolus to the small bowel ... (N/V bloating, abd ... Gastric bypass causes ... #diagnosis #differential