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
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Insufficiency Intestine ... Celiac disease, IBD ... differential #diagnosis #causes
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... bariatric, gastric, intestinal
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
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Bowel Syndrome (IBS ... Limited trial low ... Rifaximin- up to 3 courses ... apical membranes of intestinal ... epithelial cells intestinal
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Monitor & correct B12 ... (B12, MMA) for ... symptoms even if wnl B12 ... /other causes β€’
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Bowel Syndrome (IBS ... Limited trial low ... Rifaximin- up to 3 courses ... apical membranes of intestinal ... epithelial cells intestinal
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 ... consumption β€’ Low ... potassium #nephrology #low
Colorectal Dysplasia in IBD - IBD Algorithm

When / How to Screen for Dysplasia in IBD
New AGA
- IBD Algorithm ... When / How to ... for Dysplasia in IBD ... Colorectal #Dysplasia #IBDAlgorithm ... #IBD #Algorithm
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
Algorithm for the ... evaluation of macrocytic ... the most likely cause ... recovery also causes ... #Homocysteine #Algorithm