Dr. Gerald Diaz @GeraldMD
51.4M 14.5K 7.6K
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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Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... the underlying disorder ... a center that is ... #Protocol #PulmCrit
β–Ί
Unintentional Weight Loss in Primary Care
 β€’ Definition: More than 5% reduction in body weight within
mortality β€’ Baseline evaluation ... UA Most Common Causes ... 9% to 10%) - Alcohol-related ... Systemic inflammatory disorders ... PrimaryCare #diagnosis #differential
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... dysfunction, and/or disorders ... diarrhea related to IBD ... total body stores Evaluation ... , intestinal), alcohol
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... Taste or smell disorder ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
caused by a tear ... Evaluation: 1. ... presenting with chest/abd ... Connective tissue disorder ... Pulse deficit/differential
Causes of Unintentional Weight Loss - Differential Diagnosis
Malignancy 
 - Tumor effect* (esp. Gl, lung, lymphoma)
Causes of Unintentional ... Weight Loss - Differential ... Non-Malignant Gl Illness: IBD ... Depression, Eating disorders ... agonists Drugs: Alcohol
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
(N/V bloating, abd ... after RYGB β€’ Disorder ... Gastric bypass causes ... metronidazole β€’ Alcohol ... gastroenterology #diagnosis #differential