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 differential classification clinical low nephrology alkalosis b12 chloride cobalamin deficiency gastroenterology handlebar hypokalemia hypomagnesemia hypomg inflammatory injury irritablebowelsyndrome magnesium
Chronic Diarrhea Differential Diagnosis • Inflammatory, Infectious: Recurrent C. diff, Giardiasis • Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Non-infectious: IBD ... • Dysmotility: IBS ... BostonChiefs #Diarrhea ... #Diagnosis #causes
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
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Excessive GI losses ... - Chronic diarrhea ... / IBD Renal Loses ... Classification #Causes
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... bowel syndrome (IBS ... bowel disease (IBD ... #Diarrhea #Causes
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 • Diarrhea
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... loss • If anemia is ... pain, diarrhea ... related to IBD, ... total body stores Evaluation
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
Urinary Chloride Algorithm ... Urine chloride is ... the indicated causes ... urine chloride is ... the urine sodium is
Strongyloides Stercoralis on sputum microscopy As many suggested this was strongyloides stercoralis hyperinfection syndrome. Infection is initiated by
Infection is initiated ... Pts w/ chronic strongy ... symptoms: - GI: diarrhea ... caused by accelerated ... Classic culprits
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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