Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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 differential management nutrition treatment anemia cardiology chf gastroenterology heartfailure hfref nephrology aafp asymptomatic b12 cobalamin coronavirus covid19 crohns disease
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Differential Diagnosis Algorithm ... cancer, ulcer, IBD ... #Diagnosis #Causes ... #Fe #algorithm
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm • ... risk if colonic CD ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Inflammation: IBD ... Others: Hemolysis, Iron ... @drkeithsiau #Iron ... #Deficiency #Causes
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Inflammatory Disease (IBD ... , cancer) #Iron ... #Deficiency #differential ... #diagnosis #causes
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
Iron Deficiency ... and Treatment Algorithm ... ng/mL (absolute ID ... 20% (functional ID ... diagnosis #management #algorithm
Causes of Polyneuropathy - Differential Diagnosis Algorithm • Metabolic: DM, Hypothyroidism, CKD, Cirrhosis, Nutritional deficiency •
Causes of Polyneuropathy ... Differential Diagnosis Algorithm ... Hypothyroidism, CKD ... Cirrhosis, Nutritional deficiency ... #causes #neurology
Iron Deficiency in Heart Failure Pathophysiology: Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
Iron Deficiency ... → Inflammation causes ... ng/mL (absolute ID ... endpoint of all-cause ... #deficiency #CHF
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... treat underlying cause ... always exclude: CKD ... Glucocorticoid Deficiency ... Differential #Diagnosis #Algorithm
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... restricted diet/deficiency ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Differential Diagnosis Algorithm ... Hyperparathyroidism: CKD ... Malabsorption, Vit D deficiency ... sunlight • Other Causes ... #causes
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