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diagnosis differential management b12 bariatric bypass chloride cobalamin deficiencies deficiency endocrinology gastric hypochloremia hypomagnesemia hypophosphatemia low lowphosphate magnesium myelitis neurology
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
D - Bone disease ... • Thiamine - Nausea ... immune function, diarrhea ... Calcium - Bone disease ... #nutrition #table
Hypophosphatemia - Differential Diagnosis Algorithm Transcellular Shift • Recovery From DKA • Refeeding Syndrome • Acute Respiratory
• Small bowel diarrhea ... Hyperparathyroidism • Vitamin ... Inflammatory Bowel Disease ... Steatorrhea • Chronic Diarrhea ... endocrinology #causes
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
initiation of nutrition ... due to chronic disease ... Hypo-Mg2+ • Vitamin ... Palpitations • Diarrhea ... Differential #Diagnosis #Pathophysiology
Causes of Hypomagnesemia • Redistribution: IV glucose, Correction of diabetic ketoacidosis, IV hyperalimentation, Refeeding after starvation,
Causes of Hypomagnesemia ... biliary fistula, Diarrhea ... Tubulointerstitial renal disease ... Amphotericin B, Vitamin ... differential #diagnosis #nephrology
Hypochloremia - Differential Diagnosis Algorithm Cause - Decreased Intake: • Low salt in diet • Exclusive D5W
Differential Diagnosis Algorithm ... NGT suction - Diarrhea ... Differential #Diagnosis #Algorithm ... #Pathophysiology ... #Nephrology #Chloride
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... • Common Causes ... tongue), abd pain, diarrhea ... to IBD, celiac disease ... diagnosis #management #nutrition
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... MS) • Check Vitamin ... • Infectious causes ... antibodies • Nutritional ... Deficiency: - Vitamin
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