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cardiology algorithm b12 nutrition vitamin cardiomyopathy chf endocarditis fat fatigue gastronintestinal heartfailure high iron low lowergibleed malabsorption occult output pathophysiology
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... Celiac disease, IBD ... Stomach: Pernicious anemia ... #Cobalamin #differential ... #diagnosis #causes
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
Causes of Low Vitamin ... insufficiency, Crohn ... #low #cobalamin ... #differential # ... diagnosis
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... • Common Causes ... diarrhea related to IBD ... #Deficiency #diagnosis ... #management #nutrition
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Diet: ↓ Intake, e.g ... Inflammation: IBD ... #Causes #differential ... #diagnosis #anemia
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Crohn's > UC Anemia ... restricted diet/deficiency ... /other causes • ... #Algorithm #diagnosis ... #management
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
- Differential ... • Autoimmune— Crohn's ... Pancreatic lipase deficiency ... Celiac disease • IBD ... #Diagnosis #Causes
High Output Heart Failure - Pathophysiology and Differential Diagnosis Obesity - Systemic Vasodilation, Vasoactive Adipokines Arteriovenous Fistula -
Diagnosis Obesity ... ., iHD) Cirrhosis ... Metabolism Severe Anemia ... #Diagnosis #cardiology ... #causes
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
blood and/or iron deficiency ... anemia) • Colorectal ... , asymptomatic IBD ... bowel source (e.g ... #Causes
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... Avoid ARBs • ICD ... Cardiomyopathy #diagnosis ... #management #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Septic Emboli Cause ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Leukocytosis, anemia ... #management #cardiology
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