Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 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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Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... , Infectious colitis ... , UC/Chrons (IBD ... #differential #diagnosis ... #Causes #algorithm
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... /other causes β€’ ... #Algorithm #diagnosis
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... bowel syndrome (IBS ... (IBS-C) - >25% ... evacuation - Associated ... #Classes #Diagnosis
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... diarrhea related to IBD ... previously dx'd associated ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
TBRF is caused by ... the body louse, causes ... Northeast Africa with cases ... Several cases have ... The table below
Erythemas Summarized
Erythema ab igne
 β€’ A dermatosis that results from repeated exposure to heat (fires, heating
potential inciting causes ... β€’ Causes are multiple ... variety of causes ... β€’ Cause is unknown ... #differential #diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
only symptom 3-12% ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol