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diagnosis causes management classification deficiency hypomagnesemia hypomg acidosis atrophicglossitis b12 candida cobalamin copper drugs elevation encephalopathy fissuredtongue geographictongue hairytongue hematology
Risk Factors and Signs of Copper Deficiency Risk Factors: • Gastrointestinal: Previous upper bowel resection/bariatric surgery, Inflammatory
disease, Chronic diarrhoea ... , Short bowel syndrome ... Cystic fibrosis • Medications ... dental fixatives, Treatment ... , Excess alcohol
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... History of excessive alcohol ... Palpitations • Diarrhea ... hyperparathyroidism Treatment ... #Nutrition #Differential
Hypomagnesemia - Etiologies by Mechanism Decreased GI Uptake - Poor dietary intake (particularly common in alcoholics)
losses - Chronic diarrhea ... Renal Loses - Medications ... - Loop and ... dysfunction - Alcohol ... Hypomagnesemia #Differential
Causes of Hypomagnesemia Redistribution: - IV glucose - Correction of diabetic ketoacidosis - IV hyperalimentation - Refeeding
biliary fistula - Diarrhea ... Ketoacidosis - Saline ... intoxication - Alcohol ... Causes #diagnosis #differential ... #medications #drugs
Hepatorenal Syndrome - Diagnosis and Management Summary Who gets HRS? • Decompensated cirrhosis • Typically with existing
Hepatorenal Syndrome ... - Diagnosis and ... a precipitant: Medications ... , Alcohol abuse, ... Side effects: Diarrhea
Tongue Pathology Geographic tongue, fissured tongue, and hairy tongue are the most common tongue problems and
do not require treatment ... an underlying nutritional ... require biopsy to differentiate ... Burning mouth syndrome ... tobacco and alcohol
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
gastric acidity, medications ... pain, diarrhea ... , intestinal), alcohol ... Check for IF ab Treatment ... diagnosis #management #nutrition
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
Platelet Disorders • Nutritional ... arsenic compounds, alcohol ... factor (GCSF) treatments ... blood count with differential ... marrow studies Treatment
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Reversible course Differential ... Electrolyte abnormality, Medication ... disturbance, External lines ... epilepticus Treatment ... underlying cause • Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... before beginning treatment ... - Compartment syndrome ... Hypoglycemia - Alcohol ... - HIV/HAART medications
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