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 differential treatment colitis comparison deficiency nutrition ulcerative b12 boweldisease classes classification cobalamin crohns disease fatigue fe gibleed granulomatosis
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 ... Waseem_AhmedMD #Fatigue #IBD
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-D) - >25% ... (IBS-C) - >25% ... (IBS-M) - >25%
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
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
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
Orofacial Granulomatosis - Diagnosis and Management Algorithm Idiopathic OFG: isolated swelling of the lips, BX+ non-caseating granuloma Melkersson-Rosenthal
• Elimination Diet ... • Elimination Diet ... oral manif. of IBD ... ; UC>CD • Snail ... Resolve w Rx of IBD
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... / IBD Renal Loses ... Low #Magnesium #Table ... Classification #Causes
Mild-to-Moderate Ulcerative Colitis - Management Algorithm Curcumin: • Natural phytochemical from turmeric • 2g/day divided in 2-3
Colitis - Management Algorithm ... RD consult re: diet ... Budesonide and UC ... Ulcerative #Colitis #UC ... #treatment #IBD
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Differential Diagnosis Algorithm ... cancer, ulcer, IBD ... Lactation, Low iron diet ... #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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