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 ... Gallstones β€’ Liver Disease ... Surgery #Diagnosis #Differential ... #Treatment #Complications
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... , Severe Valve Disease ... β€’ Obstructive: Pulmonary ... Abdominal compartment syndrome ... #Diagnosis #criticalcare
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... - Differential ... , mitral valve disease ... Kumfer @AnnKumfer #Pulmonary ... #Mimics #Differential
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 ... Liver Disease in ... gastroenterology #diagnosis #differential
Causes of Iron Deficiency
 β€’ Inadequate Intake: Vegetarian/vegan diet, Malnutrition
 β€’ Increased Body Needs: Infants/preschoolers, Pregnancy,
Pregnancy, EPO treatment ... AI gastritis, Bariatric ... Edema, Celiac disease ... β€’ Inflammatory Disease ... Iron #Deficiency #differential
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Syndrome Definition ... symptomatology Differential ... Renal Syndromes ... #differential #
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Pulmonary vasculature ... Diseases of the ... Patients with liver disease
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Ehlers-danlos Syndrome ... (LCDD), Cystic Pulmonary ... Birt-Hogg-DubΓ© Syndrome ... Bronchiolitis, Pulmonary ... #differential #
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup and Differential ... HLH syndrome 5. ... Bariatric surgery ... marrow failure syndrome ... Metastatic Disease
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup and Differential ... HLH syndrome 5 ... Bariatric surgery ... marrow failure syndrome ... Metastatic Disease