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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diagnosis management b12 cobalamin gastroenterology hyponatremia nephrology vitamin anemia bariatric bypass cancer clinical complications criticalcare diarrhea ecmo fat fatigue fe
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Insufficiency Intestine ... Celiac disease, IBD ... #Cobalamin #differential
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
Intestinal Ultrasound ... (IUS) in IBD - ... IBD Algorithm ... #IBD #Algorithm ... #IBDAlgorithm #
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 Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... - Differential ... choledocho/ithiasis Intestinal ... Pancreatic lipase deficiency ... Celiac disease • IBD
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Algorithm • 40- ... Receptor (sTfR) to differentiate ... restricted diet/deficiency ... /other causes • ... #Algorithm #diagnosis
Hemolytic Anemia - Differential Diagnosis Algorithm Hereditary: • Peripheral blood smear + DAT + further History •
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... DAT (-) → G6PD Deficiency ... hemolytic anemia (TTP, HUS ... #causes
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... • Common Causes ... disorders of small intestine ... diarrhea related to IBD ... B12 #Cobalamin #Deficiency
Protozoal causes of diarrhea in HIV Others not included in the table: Entamoeba histolytica, Giardia Iamblia Microsporidia -
Protozoal causes ... Washington University ID ... Questions @WuidQ #Protozoal ... #causes #diarrhea ... #HIVAIDS #Differential
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... / serum Na >1 is ... mineralocorticoid deficiency ... #Hyponatremia #differential
ECMO Troubleshooting - OnePager Summary ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
ECMO Emergency Protocol ... circuit and can cause ... EMBOLISM - can cause ... , reducing the efficiency ... problems #diagnosis #differential
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