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 gastroenterology management syndrome treatment differential irritable belching bloating classes diarrhea disease inflammatroy irritablebowel irritablebowelsyndrome mimickers mimics pocus proctitis subclassifications
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
Intestinal Ultrasound (IUS) in IBD - IBD Algorithm IUS Pros (+): no radiation, cost-effective, real-time data, well
(IUS) in IBD - ... IBD Algorithm ... IUS Pros (+): no ... #IBD #Algorithm ... #IBDAlgorithm #
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Syndrome (IBS) - ... IBS is NOT a diagnosis ... Treatment: • Global IBS ... 75-100mg QD) • IBS-C ... EmoryGastroHep #IBS
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 ... (IBS-D) - >25% ... by defaecation IBS-constipation ... 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 ... (irritable bowel ... lymphomas, others) #IBD
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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