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 differential management hematology blood clinical deficiency nephrology product reactions alkalosis b12 bloodsmear borrelia boweldisease chloride classification cobalamin coronavirus covid19
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis Non-inflammatory mechanisms: • IBS • Fibrostenotic
IBD - Assessment ... mechanisms: • IBS ... Other (bile salt diarrhea ... burden - Low ... Differential #Diagnosis #Causes
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
sub-classifications lBS-diarrhoea ... of incomplete evacuation ... - Associated ... #Classes #Diagnosis ... #Diarrhea
Hypokalemia Evaluation Algorithm Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... wasting from other causes ... suggests extra-renal causes ... Laxative use • Diarrhea
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
20% • GI: N/V, diarrhea ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
Excessive GI losses ... - Chronic diarrhea ... / IBD Renal Loses ... Differential #Diagnosis #Low ... Classification #Causes
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... pain, diarrhea ... related to IBD, ... total body stores Evaluation ... previously dx'd associated
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... cancer, ulcer, IBD ... Pregnancy, Lactation, Low ... Differential #Diagnosis #Causes ... #Fe #algorithm
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... Congenital chloride diarrhea ... alkalosis • Normal/low ... the indicated causes ... Chloride #urine #Algorithm
Borrelia recurrentis on Peripheral Blood Smear 23M Somali refugee recently arrived w/severe abd pain, confusion and fever
TBRF is caused by ... the body louse, causes ... Now it is confined ... Northeast Africa with cases ... Several cases have
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Causes purpura & ... resembles ARDS, onset is ... • Transfusion Associated ... cutaneous eruptions, diarrhea ... Hypothermia: Due to low
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