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diagnosis differential management cobalamin iron msk pain vitamin algorithm anemia arthritis extremity fatigue ibd joint leg lower monoarthritis monoarticular myelitis
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, ... #Deficiency #Cobalamin
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Edema, Celiac disease ... (IBD, cancer) ... #Iron #Deficiency ... #nutrition
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Inflammation: IBD ... , Chronic disease ... #Causes #differential ... diagnosis #anemia #nutrition
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 despite disease ... /other causes •
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... papillae of tongue), abd ... diarrhea related to IBD ... , celiac disease ... diagnosis #management #nutrition
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
Legg-Calve-Perthes disease ... • Bursitis • IBD ... Neuropathy (DM, Vit B12 ... , B6, Cu deficiency ... lower #extremity #msk
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
Check Vitamin B12 ... • Infectious causes ... antibodies • Nutritional ... Deficiency: - ... Vitamin B12, E,
Approach to Joint Pain - Arthritis Differential Diagnosis Framework Inflammatory Versus Noninflammatory Pain • Is it inflammatory
weeks) Can Be Caused ... Rheumatologic Disease ... • Parvovirus B19 ... Ankylosing Spondylitis, IBD ... Differential #Diagnosis #MSK
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