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 management gastroenterology diarrhea syndrome treatment belching bloating causes classes colitis disease diverticulosis gibleed inflammatroy irritable irritablebowel irritablebowelsyndrome lower mimickers
Constipation Management Algorithm What do you mean by constipation? - Infrequent bowel movements, difficult defecation or both?
Algorithm What ... Is constipation ... associated with ... defecation suggests IBS-C ... #Management #Algorithm
Bloating and Belching - Differential Diagnosis Framework and Workup Phenotypes: "The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
Framework and Workup ... dyspepsia "The small bowel ... disease, SBO, IBS ... constipated bloater" - IBS-C ... , Simple constipation
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications lBS-diarrhoea (IBS-D) - >25% loose or watery stools; <25% hard
Irritable bowel ... by defaecation IBS-constipation ... (IBS-C) - >25% ... evacuation - Associated ... (IBS-M) - >25%
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary Use a positive diagnostic strategy with minimal testing.
Syndrome (IBS) - ... IBS is NOT a diagnosis ... fewer polyps in IBS ... vs non-IBS! ... EmoryGastroHep #IBS
IBD Mimics Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... segmental colitis associated ... inflammation: IBS ... lymphomas, others) #IBD ... mimics #mimickers #differential
SCAD: Segmental Colitis Associated with Diverticulosis - IBD Algorithm SCAD: Inflammation of the inter-diverticular mucosa without involvement
Segmental Colitis Associated ... Diverticulosis - IBD ... Algorithm SCAD ... Diverticulosis #IBD ... #Algorithm #IBDAlgorithm
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
fistula Lower: • Bowel ... colitis, UC/Chrons (IBD ... Lower #GIBleed #differential ... diagnosis #Causes #algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients First Tier Microbiologic-Testing: 1. C. difficile PCR (Stool) 2. CMV qPCR
Diarrhea Workup ... and Management Algorithm ... PTLD, GVHD or IBD ... #Diarrhea #Workup ... Transplant #diagnosis #differential
Irritable Bowel Syndrome (IBS) Management Algorithm Step 1: Good communication, dietary and lifestyle advice Abdominal Pain: • 1st
Irritable Bowel ... Syndrome (IBS) Management ... Algorithm Step ... eg TCA or SSRI Constipation ... IrritableBowel #Syndrome #IBS
Ulcerative Proctitis Proctitis: • Affects 1/3 patients • Predictors of extension: - Disease
Proximal constipation ... Alternative Dx: IBS ... Tacrolimus rarely associated ... Ulcerative #Proctitis #IBD ... diagnosis #management #algorithm
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