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diagnosis differential causes classification acidosis approach dm2 false hba1c hematology hgba1c hiv incomplete increase kawasaki laboratory lactate lactic pediatrics peds
Causes of False Elevation and Reduction in HbA1c == False Elevation == Decreased RBC turnover • Iron, B-12,
== Decreased RBC ... Iron, B-12, or folate ... RBC turnover • Acute ... • Hemolytic anemia ... End-stage renal disease
Overall Approach to Anemia - Differential Diagnosis Algorithm Blood Loss • Acute Bleed - Normocytic / Normochromic
Differential Diagnosis Algorithm ... Blood Loss • Acute ... Deficiency • B12/Folate ... Disease • Marrow ... Differential #Diagnosis #Algorithm
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
incomplete Kawasaki Disease ... Albumin ≤3.0 g/dL, anemia ... for age, elevation ... lack of tapering, decreased ... echo is positive, treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
presentations and disease ... muscle use • Decreased ... cardiac output - Acute ... peritonitis - Acute ... 30mmHg) - Severe anemia
Acute Retroviral Syndrome Acute Retroviral Syndrome is the symptomatic presentation of acute human immunodeficiency virus infection •
- Liver enzyme elevation ... T-cell count can decrease ... enzymes ↑ • Mild anemia ... antibody test) Treatment ... ART to slow HIV disease
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