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 cobalamin deficiency management ultrasound vitamin abdominal amylase ana aneurysm antibody antinuclear clinical cytoplasmic diseases elevated fatigue gastroenterology giant hyperamylasemia
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 ... Deficiency #Cobalamin #differential ... #diagnosis #causes
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... Monitor & correct B12 ... (B12, MMA) for ... /other causes •
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
- aka cobalamin ... • Common Causes ... disorders of small intestine ... diarrhea related to IBD ... bariatric, gastric, intestinal
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... obstruction - Drugs: 5-ASA ... sulindac - Active IBID
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm Idiopathic Interstitial Pneumonia • (UIP) Usual Interstitial Pneumonia
Lung Disease - Differential ... Diagnosis Algorithm ... Lung #Diseases #ILD ... #Causes #Differential ... #Diagnosis #Algorithm
Antinuclear Antibody Testing - Nuclear and Cytoplasmic Patterns Nuclear Patterns: • Homogeneous pattern: -
Scl70 (in some cases ... Scl-70 (in some cases ... SLE, SjS, CTD-ILD ... , OJ, PL-7, PL-12 ... Cytoplasmic #Patterns #differential
Giant AAA on POCUS Elderly pt with abd/back pain. Stable. Has pulsatile mass on exam spans 12
Giant AAA on POCUS ... Elderly pt with abd ... on exam spans 12 ... Article has case ... #Giant #POCUS #
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