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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Intestinal Ultrasound (IUS) in IBD - IBD Algorithm

IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... #Ultrasound #IUS ... #IBD #Algorithm ... #IBDAlgorithm #
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
bowel syndrome (IBS ... by defaecation IBS-constipation ... of incomplete evacuation ... - Associated ... #Classes #Diagnosis
Constipation Management Algorithm
What do you mean by constipation?
 - Infrequent bowel movements, difficult defecation or both?
Algorithm What ... Is constipation ... associated with ... defecation suggests IBS-C ... #Management #Algorithm
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
loss β€’ If anemia is ... diarrhea related to IBD ... total body stores Evaluation ... previously dx'd associated ... β€’ If response is
Ulcerative Proctitis
Proctitis:
 β€’ Affects 1/3 patients
 β€’ Predictors of extension:
     - Disease
Proximal constipation ... Alternative Dx: IBS ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
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 ... BAR INJURIES: classic ... consultation, evaluation
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