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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What is the difference between ischemic colitis and mesenteric ischemia?
A common misnomer. Mesenteric ischemia and ischemic
scripts and initial treatment ... algorithms. ... to nonocclusive low ... tenderness, bloody diarrhea ... differences #diagnosis #table
Colorectal Dysplasia in IBD - IBD Algorithm

When / How to Screen for Dysplasia in IBD
New AGA
- IBD Algorithm ... When / How to ... New AGA Classification ... Colorectal #Dysplasia #IBDAlgorithm ... #IBD #Algorithm
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... / IBD Renal Loses ... #Magnesium #Table ... #Classification ... #Causes #Workup
TABLE 2. Irritable bowel syndrome (IBS) sub-classifications
lBS-diarrhoea (IBS-D)
 - >25% loose or watery stools; <25% hard
TABLE 2. ... ) sub-classifications ... lBS-diarrhoea ... #Classes #Diagnosis ... #Diarrhea
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   β€’ Trauma
Differential Diagnosis by Classification ... β€’ Severe diarrhea ... exacerbation (any cause ... obstruction to blood flow ... #Table #CriticalCare
Hypokalemia - Differential Diagnosis
Poor Intake 
 - Starvation
 - Anorexia
GI Losses 
 - Vomiting / NG
NG drainage - Diarrhea ... Differential #Diagnosis #Low ... #Potassium #Table ... #Classification ... #Causes
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 β€’ Vit B12 - aka cobalamin. Present in foods derived from animal
β€’ Common Causes ... papillae of tongue), abd ... pain, diarrhea ... related to IBD, ... Check for IF ab Treatment
Borrelia recurrentis on Peripheral Blood Smear
23M Somali refugee recently arrived w/severe abd pain, confusion and fever
BP stable, HR 115 ... The table below ... Given low sensitivity ... Treatment is tetracycline ... initiation of treatment
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
β€’ Fever: hospitalized pts but
20% β€’ GI: N/V, diarrhea ... Cardiac: multiple case ... normal, can be low ... UCSF COVID-19 ID ... Guide #Diagnosis #Algorithm