31 results
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
After Gastric Bypass ... Fat-Soluble Vitamins ... : • Vitamin A - ... • Thiamine - Nausea ... Deficiencies #Gastric #Bypass
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Pernicious anemia, Bypass ... BrighamChiefs #Vitamin ... differential #diagnosis #causes
Hypercalcemia - EKG Findings
Causes of Hypercalcemia 
• Malignancy 
• Milk-alkali syndrome 
• Vitamin D toxicity 
•
EKG Findings Causes ... Milk-alkali syndrome • Vitamin ... #Differential #Causes ... #Diagnosis #Cardiology
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric Bypass ... • Persistent nausea ... Supplementation #Gastric #Bypass ... gastroenterology #nutrition #Vitamin
Rachitic Rosary of Rickets on Physical Exam

Bead-like prominences of bone are seen at the costochondral joints.
mineralization causes ... Rosary #Rickets #PhysicalExam ... #chest #Ribs #VitaminD
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
common after distal bypass ... hyperglycemia and vitamin ... Stones: • Gastric bypass ... causes increased ... an option for bypass
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

-
and other rarer causes ... Kussmauls #Sign #physicalexam ... clinical #video #jvp #cardiology
Müller's sign is the pulsation or bobbing of the uvula that occurs during systole.  It
Müller's sign is caused ... clinical #video #PhysicalExam ... #Cardiology
Jugular Waveform Components 
 • a wave - due to atrial contraction: It occurs just before
• c wave - caused ... y descent - is caused ... Waveforms #JVP #PhysicalExam ... #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... pericarditis (this case ... Kussmauls #Sign #PhysicalExam ... Pericarditis #Cardiology