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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Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... , Infectious colitis ... , UC/Chrons (IBD ... differential #diagnosis #Causes ... #algorithm
Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table
Ulcerative Collitis
 - Location
Ulcerative Colitis ... Crohn's Disease - IBD ... ileum β€’ Most cases ... Crohns #Disease #IBD ... Comparison #Table #UC
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm

SCAD: Inflammation of the inter-diverticular mucosa without involvement
SCAD: Segmental Colitis ... Associated with ... Algorithm SCAD ... #IBD #Algorithm ... #IBDAlgorithm #
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Prevalence Crohn's > UC ... /other causes β€’ ... modifications Algorithm ... #Algorithm #diagnosis
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Differential Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID ... disease, ulcerative colitis
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
bowel syndrome (IBS ... lBS-diarrhoea (IBS-D ... of incomplete evacuation ... - Associated ... #Classes #Diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... Cardiac: multiple case ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
recurrentis has been associated ... the body louse, causes ... Northeast Africa with cases ... Several cases have ... been associated
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... papillae of tongue), abd ... diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated