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 Manifestations of HIV, IBD in HIV - IBD Algorithm

HIV + IBD Background
HIV + IBD Treatment
Intestinal
in HIV - IBD Algorithm ... HIV + IBD Treatment ... Intestinal TB (ITB) GI ... #Algorithm #diagnosis ... gastroenterology #IBDAlgorithm
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... of GI Bleed Upper ... colitis, UC/Chrons (IBD ... #differential #diagnosis ... #Causes #algorithm
Causes of Iron Deficiency - Differential Diagnosis Algorithm
 β€’ Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Algorithm β€’ Blood ... loss: GI (cancer ... , ulcer, IBD), GU ... #Causes #Fe #algorithm
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Adult Clinical Evaluation ... rhinorrhea) <20% β€’ GI ... UCSF COVID-19 ID ... #Guide #Diagnosis ... #Algorithm #Protocol
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Ova and Parasite evaluation ... PTLD, GVHD or IBD ... Empiric therapy ... #Transplant #diagnosis
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... skin pallor β€’ GI ... diarrhea related to IBD ... total body stores Evaluation ... symptoms β€’ P/E - GI
Protozoal causes of diarrhea in HIV
Others not included in the table: Entamoeba histolytica, Giardia Iamblia
Microsporidia
 -
Protozoal causes ... Antiretroviral therapy ... Washington University ID ... #causes #diarrhea ... #Differential #Diagnosis
Immune Checkpoint Inhibitor-Mediated Colitis
Grade of Disease Severity:
 β€’ G1: Increase < 4 BMs/day over baseline; mild
intervention indicated Diagnostic ... Evaluation: G2- ... 4 β€’ Consult GI ... #management #algorithm ... #IBD
Endoscopy in Non-Variceal Upper GI Bleeding - Scoping Summary
Pre-Endoscopic Care:
 β€’ Adequate resuscitation: Restrictive> Liberal strategy
Non-Variceal Upper GI ... Infusion = 40mg IV BID ... Assessment and Therapy ... Summary #Endoscopy #diagnosis ... #management #algorithm