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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management differential alopecia b12 bloodsmear borrelia cardiology cardiomyopathy cobalamin coronavirus covid19 deficiency diarrhea evaluation fatigue finger flexor gibleed guide irritablebowelsyndrome
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... , Infectious colitis ... , UC/Chrons (IBD ... #differential #diagnosis ... #Causes #algorithm
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
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... fatigue despite clinical ... UC Anemia and IBD ... /other causes • ... #Algorithm #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 ... microscopy #pathology #clinical
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... previously dx'd associated ... consider other diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Cardiac: multiple case ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Clinical • Under-recognized ... during Delivery • Stable ... Avoid ARBs • ICD ... support for patients clinically
Trigger Finger - Stenosing flexor tendon tenosynovitis There is a change in the slip between the tendon
The classic frame ... In the lightest cases ... most advanced cases ... The diagnosis is ... presence of an associated
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 Nonscarring Alopecias: Clinical features of the most common types Patterned hair loss: - Age: puberty or older
Nonscarring Alopecias: Clinical ... alopecia in 5% of cases ... Tinea capitis ... hair - Can be associated ... #differential #diagnosis
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