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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Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 β€’ Small Intestinal Bowel Overgrowth (SIBO)
Definitions Pathophysiology ... Small Intestinal Bowel ... β€’ Irritable Bowel ... Syndrome β€’ Chronic ... #Management #Diagnosis
Irritable Bowel Syndrome (IBS) in Pregnancy
 - Pathophysiology
 - Pharmacotherapy
 - Nonpharmacological Treatment

Emory Gastroenterology and Hepatology
Irritable Bowel ... Syndrome (IBS) in ... Pregnancy - Pathophysiology ... Nonpharmacological Treatment ... #Pregnancy #diagnosis
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 β€’ Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: β€’ Pathophysiology ... fever - ACS, AKI ... limb ischemia, bowel ... : β€’ Pathophysiology ... #TLS #diagnosis
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
- Differential Diagnostic ... : Thrombus, 1Β° clotting ... Antiphospholipid syndrome ... Hypoperfusion: Lumen (Bowel ... hypovolemia), Meds/Treatments
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... of stool * Bloating ... Treatment: β€’ Global ... #Syndrome #Diagnosis
Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
β€’ Treatment includes ... #Vancomycin #AKI ... #pharmacology # ... toxicology #diagnosis
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 ... bolus to the small bowel ... Gastrointestinal (N/V bloating ... gastroenterology #diagnosis
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 β†’ start cefepime Β± vancomycin (if
- Simultaneous clotting ... urinary retention, bowel ... β†’ no immediate treatment ... after CRS) - Treatment ... Oncology #HemeOnc #Diagnosis