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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diagnosis management deficiency differential nutrition b12 boweldisease classification cobalamin colitis crohns disease fe hypomagnesemia hypomg inflammatory iron irritablebowelsyndrome low magnesium
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... /other causes • ... #IBD #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% ... (IBS-M) - >25% ... #Classes #Diagnosis
Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table Ulcerative Collitis - Location
Crohn's Disease - IBD ... Comparison Table ... ileum • Most cases ... Crohns #Disease #IBD ... #Comparison #Table
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... - Chronic diarrhea ... / IBD Renal Loses ... Low #Magnesium #Table ... Classification #Causes
Diets and Inflammatory Bowel Disease (IBD) Diet affects IBD by 3 mechanisms 1. Microbiome ( ↓ diversity) 2. Mucosal
Bowel Disease (IBD ... IBD by 3 mechanisms ... cheeses, yogurts • IBD-Anti-inflammatory ... pain, wind and diarrhea ... #BowelDisease #IBD
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... Lactation, Low iron diet ... Differential #Diagnosis #Causes ... #Fe #algorithm
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... slowing, neuropathy, fatigue ... pain, diarrhea ... related to IBD, ... : • History - Diet
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