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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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... IUS Pros (+): no ... #IBD #Algorithm ... #IBDAlgorithm #
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... bowel syndrome (IBS ... sub-classifications lBS-diarrhoea ... of incomplete evacuation ... (IBS-M) - >25%
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... losses - Chronic diarrhea ... / IBD Renal Loses ... Low #Magnesium #Table ... Classification #Causes
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... Adjust IS medications ... PTLD, GVHD or IBD ... Workup #Management #Algorithm
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:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... loss β€’ If anemia is ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea
What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
What is the difference ... initial treatment algorithms ... Sudden onset β€’ Abd ... tenderness, bloody diarrhea ... differences #diagnosis #table
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... 20% β€’ GI: N/V, diarrhea ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
for age, but she is ... She is sent to CT ... abd w/contrast ... in over 80% of cases ... consultation, evaluation
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