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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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... IUS Pros (+): no ... #IBD #Algorithm ... #IBDAlgorithm #
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
sub-classifications lBS-diarrhoea ... (IBS-D) - >25% ... (IBS-C) - >25% ... of incomplete evacuation ... - Associated
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... segmental colitis associated ... inflammation: IBS ... lymphomas, others) #IBD ... mimics #mimickers #differential
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... Adjust IS medications ... PTLD, GVHD or IBD ... Transplant #diagnosis #differential
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
loss β€’ If anemia is ... pain, diarrhea ... related to IBD, ... total body stores Evaluation ... previously dx'd associated
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... hypokalemia is ... Laxative use β€’ Diarrhea ... Hypokalemia #diagnosis #Algorithm ... #differential #
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
20% β€’ GI: N/V, diarrhea ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Petechial/Purpuric Rashes- THE ALGORITHMIC APPROACH 

These rashes can be especially challenging and are
associated with devastating differential
Purpuric Rashes- THE ALGORITHMIC ... challenging and are associated ... nonpalpable lesions is ... require emergent evaluation ... If the patient is
Handlebar Traumatic Injury 
Young girl presents to you after low energy, helmeted bicycle accident. Her vitals
for age, but she is ... She is sent to CT ... abd w/contrast ... pattern on your differential ... consultation, evaluation
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