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
of HIV, IBD in ... HIV - IBD Algorithm ... HIV + IBD Background ... HIV + IBD Treatment ... #HIV #IBD #Algorithm
Irritable Bowel Syndrome (IBS) - Management
Global IBS Symptoms:
  - Limited trial low FODMAP diet
Bowel Syndrome (IBS ... Management Global IBS ... Limited trial low ... psychotherapies IBS-D ... gastroenterology #treatment
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Bowel Syndrome (IBS ... IBS is NOT a diagnosis ... β€’ Rome IV Criteria ... : β€’ Global IBS ... Limited trial low
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
inhibitors - Primary intestinal ... Chronic diarrhea / IBD ... Differential #Diagnosis #Low ... Classification #Causes ... #Workup #hypomg
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... disorders of small intestine ... diarrhea related to IBD ... Check for IF ab Treatment ... consider IM or IV
The algorithm below shows how pre-test probability could be combined with various criteria to determine which
patient with a low ... short course of treatment ... -HSV-PCR is generally ... provide empiric treatment ... PCR would cause
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... for reversible cause ... β€’ Induction: propofol ... if Suggamadex is
APVcmv - Adaptive Pressure Ventilation - Controlled Mechanical Ventilation Summary
Most Similar to PRVC - Pressure Regulated
patients - The more work ... Confirm the height/ IBW ... too high / too low ... generated by vent to hit ... target volume Casey
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Post Bariatric Intestinal ... (N/V bloating, abd ... Tx: Small and low ... Gastric bypass causes ... low β€’ ERCP not
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 ... acid, high LDH, low ... high d-dimer, low ... Treat underlying cause