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 management anemia causes hematology iron nutrition workup aortic b12 ckd cobalamin coronavirus covid19 dissection endocrinology fatigue fe guide hemodialysis
Hypocalcemia Laboratory Evaluation Serum levels of PTH, phosphorus, 25-hydroxyvitamin D, and 1,25-dihydroxyvitamin D can help differentiate between
Hypocalcemia Laboratory Evaluation ... between disorders ... - Vitamin D deficiency ... Chronic kidney disease ... Endocrinology #Differential
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 Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Inflammation: IBD ... , Chronic disease ... Iron metabolism disorders ... #Causes #differential
Anemia - Underproduction Diagnostic Algorithm - Iron deficiency anemia - Anemia of chronic inflammation - Anemia
- Iron deficiency ... chronic kidney disease ... and/or folate deficiency ... Probable bone marrow disorder ... hematology #diagnosis #differential
Hemolytic Anemia - Differential Diagnosis Algorithm • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... Consider RBC membrane disorder ... Hemolytic #Anemia #Differential ... #Diagnosis #Algorithm
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... #Differential #
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... restricted diet/deficiency ... fatigue despite disease ... #Algorithm #diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Taste or smell disorder ... 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 ... dysfunction, and/or disorders ... diarrhea related to IBD ... , celiac disease ... total body stores Evaluation
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Evaluation: 1. ... presenting with chest/abd ... Connective tissue disorder ... • Aortic valve disease ... Pulse deficit/differential
Management of Pruritus in Patients with Chronic Kidney Disease Pruritus with no primary lesions - differential diagnosis:
Chronic Kidney Disease ... primary lesions - differential ... pruritus • Liver disease ... pruritus (Iron deficiency ... Pruritus #Treatment #Algorithm
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