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 management nephrology treatment b12 cobalamin coronavirus covid19 crohns fat fatigue fe gastroenterology guide hemodialysis hypocalcemia hyponatremia iron malabsorption
Perianal Crohn's Disease - IBD Algorithm • 5-40% w perianal fistula • ↑ risk if colonic
Perianal Crohn's Disease ... - IBD Algorithm ... risk if colonic CD ... #IBDAlgorithm # ... IBD #Algorithm #
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... Pulmonary Diseases ... , CNS Disease, Meds ... always exclude: CKD ... Glucocorticoid Deficiency
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Differential Diagnosis Algorithm ... cancer, ulcer, IBD ... Chronic kidney disease ... #Fe #algorithm
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... restricted diet/deficiency ... fatigue despite disease ... /other causes • ... #Algorithm #diagnosis
Hypocalcemia - Differential Diagnosis Algorithm • Low Serum Mg: GI losses, Renal losses, Alcoholism, Malnutrition, Drug-Induced
Differential Diagnosis Algorithm ... Hyperparathyroidism: CKD ... Malabsorption, Vit D deficiency ... , infiltrative disease ... #causes
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... , celiac disease ... Pancreatic lipase deficiency ... • IBD- CD, UC ... Differential #Diagnosis #Causes
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... associated w severe disease ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... diarrhea related to IBD ... , celiac disease ... total body stores Evaluation
Management of Pruritus in Patients with Chronic Kidney Disease Pruritus with no primary lesions - differential diagnosis:
Chronic Kidney Disease ... pruritus • Liver disease ... pruritus (Iron deficiency ... Pruritus #Treatment #Algorithm ... Management #Nephrology #CKD
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