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
bowel syndrome (IBS ... sub-classifications lBS-diarrhoea ... (IBS-D) - >25% ... of incomplete evacuation ... #Classes #Diagnosis
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... loss β€’ If anemia is ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
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 ... Laxative use β€’ Diarrhea
Perforated Gastric Ulcer on Abdominal POCUS
Not all FASTs are simple. Take a look at this! There
There is complex ... The layering is ... classic. ... EFAST is a great ... protocol for evaluating
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Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... bypass causes increased ... operative CCY risk is ... Bariatric surgery is ... and addiction 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 ... BAR INJURIES: classic ... in over 80% of cases ... consultation, evaluation
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