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 comparison deficiency inflammatory nutrition b12 boweldisease chronic cobalamin colitis crohns disease fatigue fe gibleed hypomagnesemia hypomg iron
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 ... (IBS-C) - >25% ... #Classes #Diagnosis
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 •
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... bowel syndrome (IBS ... bowel disease (IBD ... #Causes #Differential ... #inflammatory #classification
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... Low #Magnesium #Table ... #Classification ... #Causes #Workup
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
Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table Ulcerative Collitis - Location
Crohn's Disease - IBD ... Comparison Table ... ileum • Most cases ... Crohns #Disease #IBD ... #UC
Diets and Inflammatory Bowel Disease (IBD) Diet affects IBD by 3 mechanisms 1. Microbiome ( ↓ diversity) 2. Mucosal
Bowel Disease (IBD ... IBD by 3 mechanisms ... therapy CD > UC ... cheeses, yogurts • IBD-Anti-inflammatory ... #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 ... papillae of tongue), abd ... pain, diarrhea ... related to IBD, ... : • History - Diet
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