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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IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 β€’ IBS
 β€’ Fibrostenotic
IBD - Assessment ... Other (bile salt diarrhea ... mechanisms, Non-IBD ... burden - Low ... #Diagnosis #Causes
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... syndrome (IBS) ... disease (IBD): ... #Causes #Differential
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: β€’ Bowel ... colitis, UC/Chrons (IBD ... #diagnosis #Causes ... #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... Hypomagnesemia #Differential ... #Diagnosis #Low ... Classification #Causes
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... #Diagnosis #Causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea ... #differential #
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Clinical Evaluation Guide ... 20% β€’ GI: N/V, diarrhea ... UCSF COVID-19 ID ... #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Urinary Chloride Algorithm ... alkalosis β€’ Normal/low ... the indicated causes ... Chloride #urine #Algorithm ... #nephrology #differential
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
bolus to the small bowel ... (N/V bloating, abd ... Tx: Small and low ... Gastric bypass causes ... gastroenterology #diagnosis #differential
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
presents to you after low ... abd w/contrast ... in over 80% of cases ... injuries to the small bowel ... pattern on your differential
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