Dr. Gerald Diaz @GeraldMD
49.9M 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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IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 β€’ IBS
 β€’ Fibrostenotic
IBD - Assessment ... mechanisms, Non-IBD ... mechanisms, IBD-related ... burden - Low ... @JeanDonet #IBD
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... other chronic inflammatory
Causes of Iron Deficiency
 β€’ Inadequate Intake: Vegetarian/vegan diet, Malnutrition
 β€’ Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Celiac disease β€’ Inflammatory ... Disease (IBD, cancer ... #differential # ... diagnosis #causes
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
Diagnosis and Workup ... Fungal (rare) Inflammatory ... Spondyloarthritis, IBD ... #Differential # ... Causes
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes β€’
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
Chronic diarrhea / IBD ... #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes ... #Workup #hypomg
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Mesenteric ischemia β€’ Inflammatory ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #algorithm
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 ... mineralocorticoid deficiency ... #Hyponatremia #differential ... #diagnosis #table
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

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