39 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
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
Causes of Hypocalcemia by Clinical Cause

Acute illness: pancreatitis, tumor lysis, severe illness - Secondary hyperparathyroidism from
Causes of Hypocalcemia ... by Clinical Cause ... dietary intake - Vitamin ... Malabsorption syndrome - Vitamin ... D deficiency Neck
Right Sided Heart Failure Mnemonic: "AW HEAD"
ANOREXIA & NAUSEA 

WEIGHT GAIN 

HEPATOMEGALY 

EDEMA (BIPEDAL) 

ASCITES 

DISTENDED
HEAD" ANOREXIA & NAUSEA ... ASCITES DISTENDED NECK ... #HeartFailure #Cardiology
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 ... #neck #jugular
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
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 ... Video #Clinical #Neck ... Pericarditis #Cardiology
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
jugular venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck