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 b12 cobalamin management vitamin anemia bariatric bypass clinical complications criticalcare ecmo fe gastric gastroenterology handlebar hemolytic hyperoxaluria injury iron
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Insufficiency Intestine ... Celiac disease, IBD ... infection, B12 malabsorption ... #Cobalamin #differential
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
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... Low iron diet MALABSORPTION
Oxalate & Secondary Hyperoxaluria (1) High-oxalate diet (eg spinach, rhubarb) (2) Fat malabsorption (IBD, s/p RYGB) (3) Alterations in
rhubarb) (2) Fat ... malabsorption ( ... IBD, s/p RYGB) ... Hyperoxaluria #causes ... #differential #
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
Hemolytic Anemia - Differential Diagnosis Algorithm Hereditary: • Peripheral blood smear + DAT + further History •
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... (-) → G6PD Deficiency ... hemolytic anemia (TTP, HUS ... #causes
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
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Post Bariatric Intestinal ... (N/V bloating, abd ... Gastric bypass causes ... increased fat in ... gastroenterology #diagnosis #differential
Handlebar Traumatic Injury Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
abd w/contrast ... in over 80% of cases ... Can have intestinal ... less alarming at ... pattern on your differential
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