9 results
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
in 1923 Low ALP ... Malnutrition • Wilson's disease ... Pernicious anemia/B12 ... ) - Waddling gait ... Phosphatase: • Other causes
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... intrinsic factor, IF) Clinical ... related to IBD, celiac ... disease, other ... parasthesias, gait
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD Algorithm ... fatigue despite clinical ... & Fe Sucrose > alt ... fatigue despite disease ... /other causes
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020

Clinical Presentation
• Fever: hospitalized pts but
only symptom 3-12% ... Cardiac: multiple case ... in <35% • AST/ALT ... associated w severe disease ... Guide #Diagnosis #Algorithm
Protein Losing Enteropathy
Clinical Presentation:
 • Volume overload: Peripheral edema, pleural effusion or ascites.
 • Gl symptoms
Losing Enteropathy Clinical ... without apparent cause ... Celiac), Amyloidosis ... Dietary therapy: Low-fat ... diagnosis #management #gastroenterology
Spinal Cord Disorders - Differential Diagnosis Framework

Spinal cord neurological lesion:
Clinical findings:
 • Symptoms and signs below
neurological lesion: Clinical ... of injury • Gait ... myelopathy - Vit B12 ... Sarcoidosis, Behcet disease ... differential #algorithm
Pulmonary Nodule
Evaluation is guided by nodule size & assessment of probability of malignancy. In addition is
are called lung masses ... malignancy is < 1% for all ... chest CT in 6 to 12 ... lung malignancy, clinical ... coronary artery disease
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
e.g., diabetic, B12 ... (ALS) • Clues: ... muscle wasting, slow ... range of motion, gait ... falling, functional gait
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
worsening of that disease ... • AIDS with low ... noncompliance • Clinical ... initiation Clinical ... blindness, or gait