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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
Intestinal Manifestations ... HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea ... Hypokalemia #diagnosis #Algorithm
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
sub-classifications lBS-diarrhoea ... of incomplete evacuation ... constipation and diarrhoea ... #Classes #Diagnosis ... #Diarrhea
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... losses - Chronic diarrhea ... / IBD Renal Loses ... Classification #Causes
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 ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Workup #Management #Algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... 20% β€’ GI: N/V, diarrhea ... Cardiac: multiple case ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... of diarrhea in ... Washington University ID ... #Protozoal #causes ... #diarrhea #HIVAIDS
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
is sent to CT abd ... in over 80% of cases ... Can have intestinal ... : (alluding to intestinal ... consultation, evaluation
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