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 ... Surgery #Diagnosis #Differential ... #Treatment #Complications ... #Deficiencies #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
Types of Bariatric Surgery
Adjustable Gastric Banding:
 β€’ Decreasing in prevalence, 3% of bariatric surgeries performed
 β€’
Types of Bariatric ... Complications β€” dumping syndrome ... preserved less dumping syndrome ... TypicallySilent via Emory Gastroenterology ... #bypass #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 ... Kidney Stones: β€’ Gastric ... Complications #gastric ... #diagnosis #differential
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 β€’ Small Intestinal Bowel Overgrowth (SIBO)
and Bloating - Treatment ... Fundoplication, Bariatric ... Gastroparesis β€’ Chronic Gastric ... Irritable Bowel Syndrome ... #gastroenterology
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
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 β€’ Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Deficiencies After Gastric ... ataxia), Korsakoff syndrome ... #Deficiencies #Gastric ... nutrition #table #differential ... #diagnosis #bariatric
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
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
- Ischemia and Gastric ... Stevens-Johnson syndrome ... third of esophagus Treatment ... : - Treatment of ... diagnosis #management #gastroenterology