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 hypokalemia management nephrology workup b12 bariatric bypass cobalamin complications fatigue gastric gastroenterology gibleed hypomagnesemia hypomg hyponatremia hypotonic ileitis
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes •
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
diarrhea / IBD ... #Diagnosis #Low ... #Magnesium #Table ... #Classification ... #Causes #Workup
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... • Blood loss: GI ... cancer, ulcer, IBD ... #Diagnosis #Causes ... #Fe #algorithm
Hypokalemia - Differential Diagnosis Poor Intake - Starvation - Anorexia GI Losses - Vomiting / NG
- Anorexia GI ... #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Causes of Hypokalemia - Differential Diagnosis Algorithm Once pseudohypokalemia is ruled out, causes of hypokalemia can be
Causes of Hypokalemia ... ruled out, causes ... filling of bucket (low ... time (urinary or GI ... #Causes #workup
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... colitis, UC/Chrons (IBD ... #diagnosis #Causes ... #algorithm
Causes of ileitis beyond Crohn’s disease and infections include systemic disorders -spondyloarthropathies, vasculitides, ischemia, and amyloidosis
Causes of ileitis ... include systemic disorders ... See below for table ... #Ileitis #Differential ... #Table
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... dysfunction, and/or disorders ... skin pallor • GI ... diarrhea related to IBD ... symptoms • P/E - GI
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 ... / serum Na >1 is ... #Hyponatremia #differential ... #diagnosis #table
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
(N/V bloating, abd ... Tx: Small and low ... after RYGB • Disorder ... Gastric bypass causes ... gastroenterology #diagnosis #differential
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