Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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 classification gastroenterology abg acid acidbase bariatric base bloodgas bypass clinical complications deficiency diarrhea disease disorders fat fatigue gas gastric
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes •
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... changes without chronic ... inflammation: IBS ... lymphomas, others) #IBD ... mimics #mimickers #differential
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... - Differential ... choledocho/ithiasis Intestinal ... - Acquired • Chronic ... Celiac disease • 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 ... #Fe #algorithm
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... syndrome (IBS) ... disease (IBD): ... #Differential #
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
fistula Lower: • Bowel ... Infectious colitis, UC/Chrons ... (IBD), Radiation ... Lower #GIBleed #differential ... #algorithm
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... GI losses - Chronic ... diarrhea / IBD ... Hypomagnesemia #Differential ... Classification #Causes
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acute or chronic ... Differentials? ... D-lactate (short bowel ... syndrome, intestinal ... Neuromuscular weakness (GBS
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 ... gastroenterology #diagnosis #differential
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
abd w/contrast ... in over 80% of cases ... Can have intestinal ... injuries to the small bowel ... pattern on your differential
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