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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cardiology iron management differential heartfailure hfref aorticregurgitation b12 cobalamin coronavirus covid19 evaluation failure fatigue fe fingernails generalized guide guidelines heart
Iron Deficiency in Heart Failure - Diagnosis and Treatment Algorithm Diagnosis: Ferritin <100 ng/mL (absolute ID) OR
and Treatment Algorithm ... ng/mL (absolute ID ... improve functional status ... #CHF #HFrEF #heartfailure ... #algorithm #cardiology
Iron Deficiency in Congestive Heart Failure (CHF) Iron deficiency (ID) in heart failure is a common comorbidity
Iron Deficiency ... ) Iron deficiency ... (ID) in heart failure ... Exercise capacity Diagnosis ... More advanced stages
Iron Deficiency in Heart Failure Pathophysiology: Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
Iron Deficiency ... → Inflammation causes ... and iron release Diagnosis ... endpoint of all-cause ... #CHF #HFrEF #heartfailure
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
Algorithm Hypovolemic ... treat underlying cause ... (CHF, cirrhosis ... Glucocorticoid Deficiency ... #Algorithm #diagnosis
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... restricted diet/deficiency ... /other causes • ... modifications Algorithm ... #Algorithm #diagnosis
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential Diagnosis ... Algorithm • Blood ... cancer, ulcer, IBD ... #Causes #Fe #algorithm
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
- Differential Diagnosis ... CV/Resp/Heme: CHF ... valves, COPD, ILD ... Myopathy: Drugs (statin ... #causes #neurology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular) A 70 y/o man presents with new
= high-output state ... confirm high-output HF ... Workup for cause ... deficiency via ... AorticRegurgitation #Diagnosis
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 Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... diarrhea related to IBD ... malabsorptive state ... #diagnosis #management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Cardiac: multiple case ... UCSF COVID-19 ID ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol
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