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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IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 β€’ IBS
 β€’ Fibrostenotic
Other (bile salt diarrhea ... mechanisms, Non-IBD ... burden - Low ... @JeanDonet #IBD ... Differential #Diagnosis #Causes
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... sub-classifications lBS-diarrhoea ... constipation and diarrhoea ... #Classes #Diagnosis ... #Diarrhea
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... Differential #Diagnosis #Low ... #Magnesium #Table ... Classification #Causes
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... Differential #Diagnosis #Causes ... #Fe #algorithm
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
What is the difference ... initial treatment algorithms ... to nonocclusive low ... tenderness, bloody diarrhea ... differences #diagnosis #table
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 ... fatigue w/ active IBD ... /other causes β€’
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... β€’ Common Causes ... pain, diarrhea ... related to IBD, ... B12 #Cobalamin #Deficiency
Hypokalemia Evaluation Algorithm

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

Clinical Presentation
β€’ Fever: hospitalized pts but
20% β€’ GI: N/V, diarrhea ... Cardiac: multiple case ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... / serum Na >1 is ... mineralocorticoid deficiency ... differential #diagnosis #table