Dr. Gerald Diaz @GeraldMD
51.7M 14.5K 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 iron management nutrition b12 ckd cobalamin coronavirus covid19 evaluation fatigue fe generalized gibleed guide hemodialysis lower nephrology neurology pruritus
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Loss (without anaemia ... Celiac disease • Inflammatory ... Disease (IBD, cancer ... #differential #
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Celiac disease, IBD ... Stomach: Pernicious anemia ... #Cobalamin #differential
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
, Anemia • Prevalence ... Crohn's > UC Anemia ... Receptor (sTfR) to differentiate ... restricted diet/deficiency ... /other causes •
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Inflammation: IBD ... drkeithsiau #Iron #Deficiency ... #Causes #differential ... #diagnosis #anemia
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... other chronic inflammatory
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Mesenteric ischemia • Inflammatory ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... #algorithm
Generalized Weakness - Differential Diagnosis Framework "l feel weak": • Infectious: Influenza, EBV, PNA, Bacteremia, Sepsis •
Generalized Weakness - Differential ... valves, COPD, ILD ... , OSA, pHTN, Anemia ... Drug/Toxin) • Inflammatory ... #Diagnosis #causes
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Cardiac: multiple case ... death • Higher inflammatory ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Management of Pruritus in Patients with Chronic Kidney Disease Pruritus with no primary lesions - differential diagnosis:
primary lesions - differential ... pruritus (Iron deficiency ... anemia, Polycythemia ... Pruritus #Treatment #Algorithm ... Hemodialysis #Uremic #Uremia
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