12 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
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
Lancisi's sign in Severe Tricuspid Regurgitation - Physical Exam
Note the large systolic jugular venous wave caused
large systolic jugular ... venous wave caused ... Regurgitation #PhysicalExam ... #Cardiology #Neck ... #Jugular #JVP
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
Lancisi’s Sign in Severe Tricuspid Regurgitation

A 60-year-old man presented with progressive dyspnea and weight gain. A
Examination of the neck ... It is caused by ... Regurgitation #PhysicalExam ... #Jugular #JVP # ... Cardiology
Lancisi’s Sign in Severe Tricuspid Regurgitation

A large venous wave, or Giant V wave, is visible in
visible in the jugular ... It is caused by ... Regurgitation #PhysicalExam ... Clinical #Video #Neck ... #Jugular #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
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Causes = RV failure ... Kussmauls #Sign #PhysicalExam ... Video #Clinical #Neck ... #JVP #Jugular # ... Pericarditis #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
simultaneously at regular ... to diagnose the case ... Awaves #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign