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)
Distension and Bloating ... - Treatment Algorithm ... Fundoplication, Bariatric ... Irritable Bowel Syndrome ... #gastroenterology
Anisocoria Evaluation Flow Chart - Differential Diagnosis
1. Check pupillary reaction to light 
2. Measure pupil size.
Anisocoria Evaluation ... Flow Chart - Differential ... - Horner's Syndrome ... Evaluation #Algorithm #Differential ... #Diagnosis #Ophthalmology
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 β€’ Adjustable Gastric Banding
Prevention and Treatment ... Surgery: β€’ Dumping Syndrome ... Surgery #Diagnosis #Differential ... #Treatment #Complications ... #Deficiencies #Gastroenterology
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 ... Gastrointestinal (N/V bloating ... #diagnosis #differential
Adie's Pupil
What? Unknown nature & benign
 β€’ Regular and mildly dilated pupil (4-6mm);
 β€’ Light-near dissociaton;
Holmes-Adie Syndrome ... Young females Differential ... β€’ Physiologic Anisocoria ... PhysicalExam #neurology #ophthalmology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 β€’ Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... of stool * Bloating ... for diagnosis Treatment ... Irritable #Bowel #Syndrome ... #treatment
Horner's Syndrome on Physical Exam

A 75yoF was referred in for facial swelling and eyelid changes 1
Horner's Syndrome ... diagnosis of Horner's syndrome ... or induced by treatment ... clinical #video #ophthalmology ... physicalexam #neurology #Anisocoria
β–Ί
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
Mesenteric Ischemia - Differential ... : Thrombus, 1Β° clotting ... Antiphospholipid syndrome ... hypovolemia), Meds/Treatments ... Ischemia #Schema #Differential