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diagnosis differential hematology b12 cobalamin iron management nutrition thrombocytosis celiac fatigue ferritin gastroenterology gastronintestinal lowergibleed occult platelets
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... : SIBO, Celiac disease ... , IBD, Lymphoma, ... Stomach: Pernicious anemia
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... Crohn's > UC Anemia ... and IBD Pearls: ... IDA and active IBD ... /other causes •
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Polyphenol / tannins, ↓ Vitamin ... Inflammation: IBD ... , Chronic disease ... #diagnosis #anemia
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
Inflammatory: • IBD ... disorders • Celiac disease ... malignancy • Iron deficiency ... anemia #Thrombocytosis ... #Causes #Hematology
Iron Deficiency Anemia - Differential Diagnosis Algorithm Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR • Blood loss:
Anemia - Differential ... Diagnosis Algorithm ... Structural: Celiac disease ... Tropical sprue, IBD ... #ferritin #hematology
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
- Diagnosis Algorithm ... • Iron-deficiency ... anemia unresponsive ... without discernable cause ... Inflammatory (IBD
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
Differential Diagnosis Algorithm ... Acute hemolysis, deficiency ... anemia, Rebound ... Vasculitides, IBD ... , Celiac disease
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... ) Deficiency Etiology ... • Common Causes ... diarrhea related to IBD ... , celiac disease
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
Differential Diagnosis Algorithm ... blood and/or iron deficiency ... anemia) • Colorectal ... , asymptomatic IBD ... #Causes
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