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 nephrology alkalosis b12 bariatric boweldisease bypass chloride classification clinical cobalamin complications coronavirus covid19 deficiency gastric gastroenterology handlebar hypokalemia
IBD - Assessment of Lack of Response (sLOR) - Differential Diagnosis Non-inflammatory mechanisms: • IBS • Fibrostenotic
mechanisms: • IBS ... Other (bile salt diarrhea ... mechanisms, Non-IBD ... burden - Low ... Differential #Diagnosis #Causes
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
sub-classifications lBS-diarrhoea ... (IBS-C) - >25% ... of incomplete evacuation ... (IBS-M) - >25% ... #Classes #Diagnosis
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
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... - Chronic diarrhea ... / IBD Renal Loses ... Differential #Diagnosis #Low ... Classification #Causes
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
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
Adult Clinical Evaluation ... Guide - Updated ... 20% • GI: N/V, diarrhea ... UCSF COVID-19 ID ... #Algorithm #Protocol
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... Urine chloride is ... the indicated causes ... urine chloride is ... the urine sodium is
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Post Bariatric Intestinal ... Gastric bypass causes ... 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 ... abd w/contrast ... in over 80% of cases ... consultation, evaluation
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