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 deficiency gastroenterology b12 cobalamin management vitamin abnormal amylase bariatric bypass classification clinical complications diarrhea diseases endocrinology fat fatigue fe
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 ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm ... #POCUS #gastroenterology
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm Pancreatic causes: - Pancreatic cancer - Complications pancreatitis: eg pseudocyst -
Elevated Amylase ... Diagnosis Algorithm ... Pancreatic causes ... Non-pancreatic causes ... sulindac - Active IBID
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Insufficiency Intestine ... Celiac disease, IBD ... Deficiency #Cobalamin #differential ... #diagnosis #causes
Hypercalcemia - Differential Diagnosis Algorithm Elevated PTH (High or normal): • Primary Hyperparathyroidism • Familial Hypocalciuric Hypercalcemia Low
Hypercalcemia - Differential ... Diagnosis Algorithm ... Hypercalcemia #Differential ... #Diagnosis #Algorithm ... #causes #endocrinology
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis
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 ... have spuriously elevated ... low levels - Elevated
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #diagnosis #Causes ... #algorithm
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Chronic diarrhea / IBD ... Hypomagnesemia #Differential ... Classification #Causes
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... - Differential ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... #Diagnosis #Causes
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