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
HIV - IBD Algorithm ... Intestinal TB ... #HIV #IBD #Algorithm ... #diagnosis #gastroenterology ... #IBDAlgorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
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 ... apical membranes of intestinal ... epithelial cells intestinal
FALLS protocol - POCUS evaluation in shock

The FALLS-protocol is an ultrasound evaluation of patients with acute
FALLS protocol - ... POCUS evaluation ... is an ultrasound ... classification #Diagnosis ... #Shock #Algorithm
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
history: β€’ Small intestine ... & small/large intestine ... segmental colitis associated ... inflammation: IBS ... #differential #diagnosis
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated ... consider other diagnosis
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
bowel syndrome (IBS ... lBS-diarrhoea (IBS-D ... of incomplete evacuation ... - Associated ... #Classes #Diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... Adjust IS medications ... PTLD, GVHD or IBD ... #Transplant #diagnosis
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Purpuric Rashes- THE ALGORITHMIC ... challenging and are associated ... ; however, an algorithmic ... require emergent evaluation ... If the patient is