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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IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis
Non-inflammatory mechanisms:
 β€’ IBS
 β€’ Fibrostenotic
- Differential Diagnosis ... Other (bile salt diarrhea ... burden - Low ... #Differential #Diagnosis ... #Causes #Inflammatory
Diarrhea Differential Diagnosis Algorithm

Inflammatory
 - Infectious
   - Noninvasive
     - Viral
Diarrhea Differential ... Diagnosis Algorithm ... Bacterial - Protozoal ... #Differential #Diagnosis ... #Causes
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
Algorithm Before ... wasting from other causes ... suggests extra-renal causes ... Laxative use β€’ Diarrhea ... #Hypokalemia #diagnosis
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
- Chronic diarrhea ... / IBD Renal Loses ... #Differential #Diagnosis ... #Low #Magnesium ... Classification #Causes
Hypokalemia - Differential Diagnosis Algorithm
Extra-renal Losses:
 β€’ Normal Acid-Base: Low intake
 β€’ Metabolic acidosis: Gl tract
- Differential Diagnosis ... Algorithm Extra-renal ... Gl tract loss (Diarrhea ... #Differential #Diagnosis ... #Algorithm #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 ... constipation and diarrhoea ... #Classes #Diagnosis ... #Diarrhea
Important causes of diarrhea in people with HIV/AIDS
Severity, chronicity/persistence will depend On CD4 count & sites
Important causes ... of diarrhea in ... Coccidioides 4) Protozoal ... #Differential #Diagnosis ... #Causes
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... of diarrhea in ... Washington University ID ... #causes #diarrhea ... #Differential #Diagnosis
Causes of Hypomagnesemia - Differential Diagnosis Algorithm
GI LOSS - FeMg < 2-2.5% or 24h Urine Mg
Causes of Hypomagnesemia ... Urine Mg < 10g β€’ Diarrhea ... Hypomagnesemia #Magnesium #Low ... #Causes #Differential ... #Diagnosis #Algorithm