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 Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm # ... POCUS #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Bowel Syndrome (IBS ... IBS is NOT a diagnosis ... onset β‰₯ 6 months associated ... activate receptors on apical ... membranes of intestinal
Ebstein's Anomaly on Echocardiogram

β€’ Failure of the TV to "de-laminate" from the RV
β€’ An abnormality of
Ventricular Dysfunction is ... β€’ Anterior and Apical ... Regurgitation β€’ Associated ... Ebsteins #Anomaly #A4c ... Echocardiogram #POCUS
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Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
foods derived from animal ... disorders of small intestine ... diarrhea related to IBD ... previously dx'd associated ... bariatric, gastric, intestinal
Apical 2-Chamber (A2C) Window on POCUS Echocardiogram

Helpful to distinguish anterior and inferior regional wall motion abnormalities.
(A2C) Window on ... POCUS Echocardiogram ... vigilance for associated ... This is secondary ... #window #pocus #
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Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
ALWAYS more apically ... associated with ... often associated ... Ebstein #Anomaly #POCUS ... Echocardiogram #cardiology #a4c
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Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
colorectal CA β€’ Topical ... Alternative Dx: IBS ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm