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diagnosis differential chronic management nutrition b12 classification cobalamin copper disease endocrinology fat fatigue fe gastroenterology gastronintestinal gibleed hematology inflammatory iron
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
Disease - Diagnosis Algorithm ... disease • Iron-deficiency ... without discernable cause ... Addisons, microscopic colitis ... Inflammatory (IBD
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Inflammatory: Ischemic colitis ... , Infectious colitis ... , UC/Chrons (IBD ... #algorithm
Causes of Chronic Diarrhea - Differential Diagnosis Osmotic • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
Causes of Chronic ... Diarrhea - Differential ... "celiac sprue") ... bowel disease (IBD ... , Crohn's disease
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
Causes of Thrombocytosis ... Differential Diagnosis Algorithm ... Inflammatory: • IBD ... disorders • Celiac ... malignancy • Iron deficiency
Causes of Copper Deficiency - Differential Diagnosis Hereditary: - Menkes disease, familial hypoceruloplasminemia Decreased / Inadequate Intake:
Causes of Copper ... disease, ulcerative colitis ... , Crohn's disease ... , Celiac sprue, ... gastrectomy, prolonged diarrhea
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... fatigue w/ active IBD ... /other causes •
Causes of Fat Malabsorption - Differential Diagnosis Biliary Duct Obstruction • Autoimmune— PBC, PSC • Infection— liver
Causes of Fat Malabsorption ... • Autoimmune— Crohn's ... disease, celiac ... Pancreatic lipase deficiency ... disease • IBD
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... Differential Diagnosis Algorithm ... cancer, ulcer, IBD ... of absorption): Celiac ... #Fe #algorithm
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Differential Diagnosis Algorithm ... Disease • GH Deficiency ... • IGF-I Deficiency ... Celiac, IBD) • ... endocrinology #causes
Causes of Chronic Diarrhea Osmotic Diarrhea 1. Medications: antacids, lactulose, sorbitol 2. Disaccharidase deficiency: lactose intolerance 3.
Causes of Chronic ... Disaccharidase deficiency ... Ulcerative colitis ... Microscopic colitis ... mucosal disorders: celiac
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