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 differential management nutrition b12 boweldisease classification cobalamin colitis crohns deficiency diets disease fat fatigue gibleed hivaids hypomagnesemia hypomg inflammatory
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)
inhibitors - Primary intestinal ... - Chronic diarrhea ... / IBD Renal Loses ... Low #Magnesium #Table ... Classification #Causes
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes •
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Infectious colitis, UC ... /Chrons (IBD), Radiation ... differential #diagnosis #Causes ... #algorithm
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... - CD, UC Altered ... Differential #Diagnosis #Causes
Protozoal causes of diarrhea in HIV Others not included in the table: Entamoeba histolytica, Giardia Iamblia Microsporidia -
Protozoal causes ... of diarrhea in ... included in the table ... Washington University ID ... #causes #diarrhea
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... disorders of small intestine ... pain, diarrhea ... related to IBD, ... bariatric, gastric, intestinal
Diets and Inflammatory Bowel Disease (IBD) Diet affects IBD by 3 mechanisms 1. Microbiome ( ↓ diversity) 2. Mucosal
Bowel Disease (IBD ... Diet affects IBD ... diet therapy CD > UC ... cheeses, yogurts • IBD-Anti-inflammatory ... #BowelDisease #IBD
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