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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TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... sub-classifications lBS-diarrhoea ... evacuation - Associated ... #Classes #Diagnosis ... #Diarrhea
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... bowel syndrome (IBS ... bowel disease (IBD ... #Causes #Differential
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... , UC/Chrons (IBD ... Lower #GIBleed #differential ... #diagnosis #Causes ... #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... Hypomagnesemia #Differential ... Low #Magnesium #Table ... Classification #Causes
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Diagnosis: Causes ... starvation, diabetic) Causes ... Acetazolamide Causes ... Mineralocorticoid excess Causes ... - Salicylates Causes
Algorithm - Approach to the differential diagnosis of the patient presenting with overt glomerular proteinuria. CMV
Algorithm - Approach ... hour collection based ... abdomen (enteritis, colitis ... Nephrocalcinosis causes ... #Algorithm #differential
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... poisoning Normal acid-base ... the indicated causes ... Chloride #urine #Algorithm ... #nephrology #differential
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
TBRF is caused by ... the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based ... algorithm Urine ... #Hyponatremia #differential ... #diagnosis #table
Nonscarring Alopecias: Clinical features of the most common types
Patterned hair loss:
 - Age: puberty or older
alopecia in 5% of cases ... Tinea capitis ... a tension that is ... hair - Can be associated ... Alopecia #types #differential