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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differential deficiency management nephrology alkalosis b12 boweldisease chloride classification clinical cobalamin coronavirus covid19 essential et fe guide handlebar hematology hypokalemia
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis Non-inflammatory mechanisms: • IBS • Fibrostenotic
IBD - Assessment ... Other (bile salt diarrhea ... mechanisms, Non-IBD ... burden - Low ... #Causes #Inflammatory
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
sub-classifications lBS-diarrhoea ... of incomplete evacuation ... constipation and diarrhoea ... #Classes #Diagnosis ... #Diarrhea
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
hypokalemia is ... wasting from other causes ... suggests extra-renal causes ... Laxative use • Diarrhea ... #Hypokalemia #diagnosis
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... #Differential #Diagnosis ... #Low #Magnesium ... Classification #Causes
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... 20% • GI: N/V, diarrhea ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Algorithm • Blood ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... #Causes #Fe #algorithm
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... pain, diarrhea ... related to IBD, ... total body stores Evaluation ... consider other diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis • Normal/low ... the indicated causes ... Chloride #urine #Algorithm ... #differential #diagnosis
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
abd w/contrast ... BAR INJURIES: classic ... in over 80% of cases ... and/or delayed diagnosis ... consultation, evaluation
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 Essential Thrombocythemia (ET) ET is a chronic myeloproliferative neoplasm. Most cases are related to mutations that affect
Most cases are related ... platelet sizes) A conclusive ... diagnosis generally ... • Treatment algorithms ... appropriate only for low
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