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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Algorithm for diagnosing irritable bowel syndrome-diarrhea (IBS-D).

#IBSD #diarrhea #Algorithm #irritable #bowel #syndrome #diagnosis #gastroenterology
Algorithm for diagnosing ... irritable bowel syndrome-diarrhea ... #IBSD #diarrhea ... irritable #bowel #syndrome ... #diagnosis #gastroenterology
Chronic Diarrhea Differential Diagnosis
 β€’ Inflammatory, Infectious: Recurrent C. diff, Giardiasis
 β€’ Inflammatory, Non-infectious: IBD, Ischemia,
Chronic Diarrhea ... Differential Diagnosis ... BostonChiefs #Diarrhea ... #Differential #Diagnosis ... #causes #gastroenterology
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 β€’ Cl- responsive metabolic alkalosis
- Differential Diagnosis ... Congenital chloride diarrhea ... , Gitelman syndrome ... acidosis: Chronic diarrhea ... #Differential #Diagnosis
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 β€’ Kidney loss of Cl-
Congenital chloride diarrhea ... diuretic use, Bartter syndrome ... , Gitelman syndrome ... urine #Algorithm #nephrology ... #differential #diagnosis
Acid Base and Blood Gas Analysis
1. pH - What’s the primary disturbance?
2. pCO2 - What’s the
asthma, ↓ Drive, Medications ... Vomiting D - Diarrhea ... - Contraction alkalosis ... workup #algorithm #diagnosis ... #acidosis #alkalosis
Stool Cultures - Indications in Diarrhea
Patient Categories to Order Stool Cultures On:
 β€’ Persisting 1 week
Stool Cultures - Indications ... in Diarrhea Patient ... Stool #Cultures #Indications ... #diagnosis #gastroenterology ... #diarrhea
Hypophosphatemia - Differential Diagnosis Algorithm
Appropriately Low Kidney Phosphate Excretion:
 β€’ Decreased GI Absorption: Chronic Diarrhea, Antacids,
- Differential Diagnosis ... Absorption: Chronic Diarrhea ... Acute Respiratory Alkalosis ... #Differential #Diagnosis ... #Algorithm #nephrology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Acidosis - RTA - Diarrhea ... Periodic paralysis Alkalosis ... Metabolic alkalosis ... Differential #Algorithm #Diagnosis ... Causes #Workup #Nephrology
Workup for Hypophosphatemia - Differential Diagnosis Framework
Rule out spurious hypophosphatemia: paraproteinemia, acute leukemia
Measure Urine Fractional Excretion
- Differential Diagnosis ... Malabsorption, Chronic diarrhea ... Glucose, Acute resp. alkalosis ... #Differential #Diagnosis ... Workup #phosphate #nephrology
Hypomagnesemia - Etiologies by Mechanism

Decreased GI Uptake 
 - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... Renal Loses - Medications ... - Hungry bones syndrome ... #Differential #Diagnosis ... Low #Magnesium #Table