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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Intestinal Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
of HIV, IBD in ... HIV - IBD Algorithm ... HIV + IBD Treatment ... #HIV #IBD #Algorithm ... gastroenterology #IBDAlgorithm
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... @wabillin #Intestinal ... #Algorithm #IBDAlgorithm
Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 β€’ Autoimmuneβ€” PBC, PSC
 β€’ Infectionβ€” liver
Differential Diagnosis Biliary ... β€” liver fluke, HIV ... choledocho/ithiasis Intestinal ... Celiac disease β€’ IBD ... Tropical sprue β€’ HIV
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... fatigue despite clinical ... : IV Fe > PO FE ... IV FE formulations ... #Algorithm #diagnosis
Common Bile Duct Ascariasis on POCUS

Less common than Intestinal Ascariasis but we do see a lot
Less common than Intestinal ... wiggling in the CBD ... Clinically confirmed ... #BileDuct #Biliary ... POCUS #ultrasound #clinical
β–Ί
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
disorders of small intestine ... intrinsic factor, IF) Clinical ... diarrhea related to IBD ... bariatric, gastric, intestinal ... consider IM or IV
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... of diarrhea in HIV ... bodies w/in the intestinal ... Washington University ID ... Questions @WuidQ #Protozoal
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
COVID-19 Adult Clinical ... April 10 2020 Clinical ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
ERCP Management Algorithm for Patient with Symptomatic Choledocholithiasis 

Predictors of choledocholithiasis
Very strong
 - CBD stone on
ERCP Management Algorithm ... transabdominal US - Clinical ... than 55 y - Clinical ... ERCP #Management #Algorithm ... Choledocholithiasis #Biliary