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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Bloating and Belching - Differential Diagnosis Framework and Workup
Phenotypes:
"The gastric bloater" - Gastric outlet obstruction, Gastroparesis,
and Belching - Differential ... Diagnosis Framework ... and Workup Phenotypes ... dyspepsia "The small bowel ... #Diagnosis #Workup
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Irritable Bowel ... Diagnosis and Workup ... IBS is NOT a diagnosis ... missing things" β†’ fewer ... #workup #gastroenterology
Aortitis - Diagnosis and Workup
Clinical History:
 - Fever, weight loss, deterioration of general health
 - Aortic
Aortitis - Diagnosis ... and Workup Clinical ... History: - Fever ... Spondyloarthritis, IBD ... #Workup #Differential
Upper and Lower Causes of GI Bleed
Upper:
 β€’ Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
fistula Lower: β€’ 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 ... #Transplant #diagnosis ... #differential
Hemolytic Anemia - Differential Diagnosis Algorithm
 β€’ Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia - Differential ... Diagnosis Algorithm ... bartonella (oroya fever ... #Diagnosis #Algorithm ... #workup #hematology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 β€’ Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Pain / Exercise, Fever ... Beta-Agonists, ↑ work ... Drugs/Toxins: - Propofol ... Seen in Short Bowel
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
Presentation β€’ Fever ... UCSF COVID-19 ID ... Evaluation #Guide #Diagnosis ... #Algorithm #Protocol
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
full infectious work-up ... days β†’ add fungal work-up ... allopurinol 300 mg BID ... urinary retention, bowel ... Oncology #HemeOnc #Diagnosis
Fever in the Returning International Traveler
Investigations after comprehensive physical examination including thorough skin examination: 
 β€’
Fever in the Returning ... Undifferentiated fever ... @BoggildLab #Fever ... empiric #management #workup ... #diagnosis #differential