Dr. Gerald Diaz @GeraldMD
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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 management differential gastroenterology ibs treatment bowel diarrhea syndrome acth adrenal amylase b12 bleeding brain checkpointinhibitor classes clinical cns cobalamin
Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm HIV + IBD Background HIV + IBD Treatment Intestinal
of HIV, IBD in ... HIV - IBD Algorithm ... HIV + IBD Treatment ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel ... Rifaximin- up to 3 courses ... apical membranes of intestinal ... epithelial cells intestinal ... #Irritable #Bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... • Rome IV Criteria ... Rifaximin- up to 3 courses ... epithelial cells intestinal ... #Irritable #Bowel
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
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... — liver fluke, HIV ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... Tropical sprue • HIV
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... be treated with IV ... wasting from other causes ... suggests extra-renal causes ... Hypokalemia #diagnosis #Algorithm
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... : IV Fe > PO FE ... IV FE formulations ... /other causes • ... #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 ... Celiac disease / HIV
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... consider IM or IV
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
Irritable bowel ... lBS-diarrhoea (IBS-D ... (IBS-C) - >25% ... of incomplete evacuation ... #Classes #Diagnosis
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