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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Functional GI Disorders in IBD - IBD Algorithm

Background:
 β€’ 25-40% of IBD in remission have IBS
Functional GI Disorders ... in IBD - IBD Algorithm ... #IBS #IBDAlgorithm ... #IBD #Algorithm ... gastroenterology #management
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #algorithm
Idiopathic Inflammatory Myopathies - 
Dermatomyositis (DM), Immune-Mediated Necrotizing Myopathy (IMNM), Antisynthetase Syndrome (ASS), Inclusion Body Myositis
Body Myositis (IBM ... Idiopathic #Myopathy #Comparison ... #Managment #algorithm ... #Rheumatology #Differential
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... β€’ Blood loss: GI ... cancer, ulcer, IBD
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 ... /other causes β€’ ... #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... dysfunction, and/or disorders ... diarrhea related to IBD ... total body stores Evaluation ... Deficiency #diagnosis #management
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Diarrhea Workup and Management ... Algorithm in Transplant ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #diagnosis #differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
caused by a tear ... Evaluation: 1. ... Connective tissue disorder ... Pulse deficit/differential ... Dissection #diagnosis #management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... rhinorrhea) <20% β€’ GI ... Taste or smell disorder ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
indicated Diagnostic Evaluation ... -4 β€’ Consult GI ... Colitis #diagnosis #management ... #algorithm #IBD