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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Perianal Crohn's Disease - IBD Algorithm

 β€’ 5-40% w perianal fistula
 β€’ ↑ risk if colonic
Crohn's Disease - IBD ... Algorithm β€’ ... medical therapy β€’ Chronic ... Crohns #Disease #IBDAlgorithm ... #IBD #Algorithm
Colorectal Dysplasia in IBD - IBD Algorithm

When / How to Screen for Dysplasia in IBD
New AGA
- IBD Algorithm ... for Dysplasia in IBD ... New AGA Classification ... Colorectal #Dysplasia #IBDAlgorithm ... #IBD #Algorithm
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Differential Diagnosis Algorithm ... cancer, ulcer, IBD ... Increased hepcidin: Chronic ... #Fe #algorithm
Causes of Iron Deficiency
 β€’ Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Inflammation: IBD ... , Chronic disease ... drkeithsiau #Iron #Deficiency ... #Causes #differential
Causes of Iron Deficiency
 β€’ Inadequate Intake: Vegetarian/vegan diet, Malnutrition
 β€’ Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Elite athletes β€’ Chronic ... Inflammatory Disease (IBD ... cancer) #Iron #Deficiency ... differential #diagnosis #causes
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes β€’
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines β†’ Inflammation
Iron Deficiency ... Pathophysiology: Chronic ... β†’ Inflammation causes ... ng/mL (absolute ID ... 20% (functional ID
Pancreatic Exocrine Insufficiency (PEI) - Diagnostic Algorithm
PEI definite:
 β€’ Total pancreatectomy
 β€’ Severe chronic pancreatitis
 β€’
) - Diagnostic Algorithm ... pancreatectomy β€’ Severe chronic ... and moderate chronic ... Vitamin A, E, D, K deficiency ... Coeliac disease β€’ IBD
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Infectious colitis, UC/Chrons ... (IBD), Radiation ... differential #diagnosis #Causes ... #algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
GI losses - Chronic ... diarrhea / IBD ... Magnesium #Table #Classification ... #Causes #Workup