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 differential deficiency classification criticalcare endoscopy iron nutrition overview shock treatment b12 checkpointinhibitor cobalamin colitis coronavirus covid19 disorders esophageal falsenegatives
Functional GI Disorders in IBD - IBD Algorithm Background: • 25-40% of IBD in remission have IBS
Functional GI Disorders ... in IBD - IBD Algorithm ... #IBDAlgorithm # ... IBD #Algorithm # ... gastroenterology #management
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... without anaemia): GI ... Hookworm infection, Bleeding ... Celiac disease • Inflammatory ... Disease (IBD, cancer
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... Mesenteric ischemia • Inflammatory ... colitis, UC/Chrons (IBD ... #algorithm
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... • Blood loss: GI ... cancer, ulcer, IBD ... other chronic inflammatory ... #Fe #algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... rhinorrhea) <20% • GI ... death • Higher inflammatory ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
extraction • Inflammatory ... out (trauma, GI ... • Hypovolemic: GI ... Classification #diagnosis #management ... #differential #causes
Shock Overview A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
extraction • Inflammatory ... out (trauma, GI ... • Hypovolemic: GI ... Classification #diagnosis #management ... #differential #causes
What is Fecal Occult Blood Testing (FOBT) • Screening for colorectal cancer in average risk population
for GIB/anemia evaluation ... epistaxis, gingival bleeding ... esophagitis, gastritis, IBD ... Does not change management ... Massachusetts GI
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... skin pallor • GI ... total body stores Evaluation ... symptoms • P/E - GI ... Deficiency #diagnosis #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary PRE-ENDOSCOPY Vasoactive agents - Octreotide: • 50mcg bolus →
Esophageal Variceal Bleeding ... Diagnosis and Management ... unclear source (in case ... TIPS • Pre-TIPS evaluation ... #Diagnosis #Management
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