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
IBD - Assessment ... Other (bile salt diarrhea ... burden - Low ... @JeanDonet #IBD ... #Causes #Inflammatory
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 ... #Classes #Diagnosis ... #Diarrhea
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
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
- Differential Diagnosis ... NG drainage - Diarrhea ... #Low #Potassium ... #Table #Classification ... #Causes
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 β€’ Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... bowel syndrome (IBS ... bowel disease (IBD ... #Causes #Differential ... #classification
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
initial treatment algorithms ... to nonocclusive low ... tenderness, bloody diarrhea ... #differences #diagnosis ... #table
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Hypokalemia Evaluation Algorithm ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea ... #Hypokalemia #diagnosis
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Algorithm β€’ Blood ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... #Causes #Fe #algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... pain, diarrhea ... related to IBD, ... consider other diagnosis ... Cobalamin #Deficiency #diagnosis
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 ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol