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 ... : 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 ... excluded limb β€’ Treatment ... #diagnosis #differential
Types of Bariatric Surgery
Adjustable Gastric Banding:
 β€’ Decreasing in prevalence, 3% of bariatric surgeries performed
 β€’
Types of Bariatric ... β€” dumping syndrome ... preserved less dumping syndrome ... TypicallySilent via Emory Gastroenterology ... gastric #bypass #gastroenterology
Complications of Gallstones - Cholelithiasis
1. Biliary colic
2. Cholecystitis
3. Mucocele
4. Empyema
5. Fistula
6. Perforation
7. Gallbladder carcinoma
8. Mirizzi's syndrome
9.
Complications of ... Mirizzi's syndrome ... Bouveret's syndrome ... Cholelithiasis #differential ... #diagnosis #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 β€’ Small Intestinal Bowel Overgrowth (SIBO)
and Bloating - Treatment ... Fundoplication, Bariatric ... Irritable Bowel Syndrome ... Diagnosis #Algorithm #Treatment ... #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Stevens-Johnson syndrome ... third of esophagus Treatment ... : - Treatment of ... supportive care Complications ... diagnosis #management #gastroenterology
Orbital Apex Syndrome secondary to Herpes Zoster Ophthalmicus (HZO)

This 81 yo male was referred to our
Orbital Apex Syndrome ... is a rare complication ... receive proper treatment ... is no mainstay treatment ... clinical #video #ophthalmology
β–Ί
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
and ophthalmic complications ... very remarkable w/differential ... of the steroid treatment ... Treatment of GCA ... required +/- prompt ophthalmology