Dr. Gerald Diaz @GeraldMD
49.9M 14.4K 7.6K
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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Causes of Fat Malabsorption - Differential Diagnosis
Biliary Duct Obstruction
 β€’ Autoimmuneβ€” PBC, PSC
 β€’ Infectionβ€” liver
Causes of Fat Malabsorption ... - Differential ... choledocho/ithiasis Intestinal ... Pancreatic lipase deficiency ... Celiac disease β€’ IBD
Fatigue and IBD Algorithm
 β€’ 40-50% patients have fatigue despite clinical remission
 β€’ Risk factors: BMI,
Algorithm β€’ 40- ... Receptor (sTfR) to differentiate ... restricted diet/deficiency ... /other causes β€’ ... #management
Hemolytic Anemia - Differential Diagnosis Algorithm
Hereditary:
 β€’ Peripheral blood smear + DAT + further History
 β€’
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... (-) β†’ G6PD Deficiency ... hemolytic anemia (TTP, HUS ... #causes
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... β€’ Common Causes ... disorders of small intestine ... diarrhea related to IBD ... #diagnosis #management
Phenobarbital monotherapy algorithm for alcohol withdrawal

** EDIT - SEE UPDATED ALGORITHM HERE:
https://www.grepmed.com/images/4060/phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit

-Phenobarbital monotherapy has numerous advantages
phenobarbital-monotherapy-withdrawal-management-algorithm-protocol-pulmcrit ... Alternative causes ... -If you work at ... #Management #Alcohol ... #Protocol #PulmCrit
β–Ί
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
of fatty acid (FA ... ketoacidosis (DKA) - caused ... Glucosuria causes ... Disorders #ketones #differential ... #diagnosis #management
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
caused by a tear ... presenting with chest/abd ... β€’ Maximal at ... Pulse deficit/differential ... Dissection #diagnosis #management
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... β€’ Induction: propofol ... if Suggamadex is ... 15-20 mg/kg IV at
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 ... problems #diagnosis #differential ... #management #criticalcare
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... (N/V bloating, abd ... Gastric bypass causes ... increased fat in ... gastroenterology #diagnosis #differential