12 results
Prevalence of Common Nutritional Deficiencies and Supplement Recommendations in Bariatric Patients 
Calcium, Vitamin B1 (thiamine), Vitamin
Recommendations in Bariatric ... A,Vitamin D, Vitamin ... , Zinc #Bariatric ... #Gastric #Bypass ... #Deficiencies #Deficiency
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Deficiencies After Gastric ... Bypass Fat-Soluble ... • Thiamine - Nausea ... #Bypass #vitamin ... differential #diagnosis #bariatric
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Pernicious anemia, Bypass ... #B12 #Deficiency ... differential #diagnosis #causes
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
common after distal bypass ... hyperglycemia and vitamin ... Kidney Stones: • Gastric ... bypass causes increased ... Complications #gastric
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric ... Bypass Surgery ... • Persistent nausea ... #bariatric #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 ... #deficiency #endocrinology
Copper Deficiency - Mechanisms
There are 2 main mechanisms of copper deficiency
Decreased intake from:
 - Gastric bypass,
Copper Deficiency ... mechanisms of copper deficiency ... intake from: - Gastric ... bypass, Celiac ... #Causes #differential
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Manifestations Causes ... alcoholism - TPN - Gastric ... bypass surgery ... Malnutrition - Gastric ... bypass surgery
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... ) Deficiency Etiology ... • Common Causes ... conditions, surgeries (bariatric ... , gastric, intestinal
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
Workup for cause ... point thiamine deficiency ... deficiency via ... AorticRegurgitation #Diagnosis #PhysicalExam ... Fingernails #Nailbed #Cardiology