Dr. Gerald Diaz @GeraldMD
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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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TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
by defaecation IBS-constipation ... of incomplete evacuation ... - Associated ... alternate between constipation ... #Classes #Diagnosis
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
disorders of small intestine ... diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated ... consider other diagnosis
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
only symptom 3-12% ... , IL-6, TNF-a) associated ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
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 ... ; however, an algorithmic ... Figure 4, page 12 ... require emergent evaluation
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
Proximal constipation ... Alternative Dx: IBS ... Tacrolimus rarely associated ... #diagnosis #management ... #algorithm