Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 β€’ Autoimmuneβ€” PBC, PSC
 β€’ Infectionβ€” liver
Causes of Fat Malabsorption ... choledocho/ithiasis Intestinal ... Celiac disease β€’ IBD ... length β€’ Short bowel ... Differential #Diagnosis #Causes
Ulcerative Colitis vs Crohn's Disease - IBD Comparison Table
Ulcerative Collitis
 - Location
Crohn's Disease - IBD ... Comparison Table ... ileum β€’ Most cases ... Crohns #Disease #IBD ... #Comparison #Table
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... fistula Lower: β€’ Bowel ... colitis, UC/Chrons (IBD ... differential #diagnosis #Causes ... #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Excessive GI losses ... Chronic diarrhea / IBD ... Low #Magnesium #Table ... Classification #Causes
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... Irritable bowel ... (IBS-D) - >25% ... the criteria for IBS-C ... #Classes #Diagnosis
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
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... included in the table ... Washington University ID ... Questions @WuidQ #Protozoal ... #causes #diarrhea
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:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ 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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