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 diarrhea alcohol antiarrhythmics bariatric bypass cardiology chronic clinical complications etoh gastric gastroenterology gibleed handlebar hyperoxaluria hypomagnesemia hypomg inflammatory
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... choledocho/ithiasis Intestinal ... Celiac disease • IBD ... length • Short bowel ... Differential #Diagnosis #Causes
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Excessive GI losses ... Chronic diarrhea / IBD ... 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 ... fistula Lower: • Bowel ... colitis, UC/Chrons (IBD ... differential #diagnosis #Causes ... #algorithm
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
Irritable bowel ... syndrome (IBS) sub-classifications ... (IBS-D) - >25% ... the criteria for IBS-C ... #Classes #Diagnosis
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... syndrome (IBS) ... disease (IBD): ... Chronic #Diarrhea #Causes ... #inflammatory #classification
Antiarrhythmics - Vaughan Williams Classification Class I (Ia, Ib, Ic) - Na+ Channel Blockade • Slows depolarization
Vaughan Williams Classification ... Class I (Ia, Ib ... depolarization in fast ... VaughanWilliams #Classification ... #Classes #cardiology
Oxalate & Secondary Hyperoxaluria (1) High-oxalate diet (eg spinach, rhubarb) (2) Fat malabsorption (IBD, s/p RYGB) (3) Alterations in
rhubarb) (2) Fat ... malabsorption (IBD ... Alterations in intestinal ... Genetic variants of intestinal ... Hyperoxaluria #causes
Phenobarbital monotherapy algorithm for alcohol withdrawal ** EDIT - SEE UPDATED ALGORITHM HERE: https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit -Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... -If you work at ... a center that is ... #Protocol #PulmCrit
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 Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Post Bariatric Intestinal ... bolus to the small bowel ... (N/V bloating, abd ... Gastric bypass causes ... increased fat in
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
abd w/contrast ... BAR INJURIES: classic ... in over 80% of cases ... less alarming at ... injuries to the small bowel
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