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 clinical deficiency management abdominal b12 cobalamin coronavirus covid19 diarrhea fatigue fe freefluid gastric guide handlebar hypokalemia injury iron irritablebowelsyndrome
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... colitis, UC/Chrons (IBD ... #differential # ... diagnosis #Causes ... #algorithm
A quick way to consider causes of PEA arrest (or severe hypotension) is to consider: Volume
way to consider causes ... severe hypotension) is ... Obstruction, and then 3 causes ... Diagnosis #PEAArrest #Differential ... #Evaluation #Algorithm
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
bowel syndrome (IBS ... (IBS-C) - >25% ... of incomplete evacuation ... - Associated ... #Classes #Diagnosis
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 ... #differential #
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes •
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... #Diagnosis #Causes
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm ... #Protocol #SARSCoV2
Unintentional Weight Loss in Primary Care • Definition: More than 5% reduction in body weight within
within 6-12 months, Is ... associated with ... mortality • Baseline evaluation ... UA Most Common Causes ... PrimaryCare #diagnosis #differential
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... papillae of tongue), abd ... diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated
Perforated Gastric Ulcer on Abdominal POCUS Not all FASTs are simple. Take a look at this! There
Your differential ... In this case, the ... classic. ... protocol for evaluating ... for occult bleed
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