Dr. Gerald Diaz @GeraldMD
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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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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
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... #Workup #Management ... #Algorithm #Transplant
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea
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€’ ... #management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for Convulsive ... for reversible cause ... if Suggamadex is ... #Convulsive #management
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 ... a center that is ... #Management #Alcohol ... #Protocol #PulmCrit
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UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... 20% β€’ GI: N/V, diarrhea ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... pain, diarrhea ... related to IBD, ... total body stores Evaluation ... Deficiency #diagnosis #management
Evaluation and Management of Hypokalemia

Hypokalemia is often asymptomatic. Evaluation begins with a search for warning signs
Evaluation and Management ... Hypokalemia is ... Most cases of hypokalemia-induced ... important because management ... #Algorithm
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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 ... β€’ Treatment is ... β€’ Treatment algorithms ... hematology #diagnosis #management