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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Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 β€’ Adjustable Gastric Banding
Prevention and Treatment ... Surgery: β€’ Dumping Syndrome ... Gallstones β€’ Liver Disease ... Surgery #Diagnosis #Differential ... #Treatment #Complications
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... Nausea, Pulmonary Diseases ... , CNS Disease, Meds ... #Differential #
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... demyelination syndrome ... vaptans (HF/liver disease ... #Differential # ... #management #nephrology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 β€’ Severe protein malnutrition after bariatric surgery
 β€’ More
Consider refeeding syndrome ... nutrients β€’ TPN for treatment ... deficiencies) Dumping Syndrome ... Liver Disease in ... gastroenterology #diagnosis #differential
Hypernatremia - Differential Diagnosis and Treatment
Hypernatremia is almost always due to unreplaced water loss (free water
Differential Diagnosis ... The differential ... , Dehydration: neurologic ... disease, water ... #Differential #
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 β€’ Toxoplasmosis (CD4 < 100)
 β€’ Other
Diagnosis- Compatible syndrome ... lymphoproliferative disease ... Lesions #Brain #differential ... diagnosis #causes #radiology ... #neurology
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
, Busulfan β€’ Disease ... (Goodpasture's syndrome ... Renal #Transplant #differential ... urine #management #treatment ... #nephrology
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia
If prolonged or β‰₯ 39 C this is a
Treatment depends ... β€’ Serotonin syndrome ... amphetamines) Toxic: β€’ Radiologic ... Phaeochromocytoma Neurologic ... #Hyperthermia #Differential
Iliotibial Band Friction Syndrome - MSK Radiology
Imaging Findings:
 β€’ The iliotibial band (ITB) is thickened with
Band Friction Syndrome ... - MSK Radiology ... β€’ Treatment: Conservative ... Findings of chronic disease ... Differential diagnosis
Hyponatremia Differential Diagnosis Algorithm in Cancer
UOsm β‰₯ 100 mOsm/kg = Urine is inappropriately concentrated for hypotonic
Hyponatremia Differential ... capillary leak syndrome ... amyloidosis) β€’ Liver disease ... #Differential # ... Cancer #algorithm #nephrology