8 results
Causes of Purpura - Differential Diagnosis
Disruption in Vascular Integrity: 
 • Trauma, Infection, Vasculitis, Drug induced
Causes of Purpura ... disorders, Nutritional deficiencies ... C), Pigmented purpuric ... BrighamChiefs #Purpura ... nonpalpable #palpable #Causes
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Surgery Post Bariatric ... hyperglycemia and vitamin deficiencies ... Gastric bypass causes ... biliopancreatic limbs) • Hepatopathy ... prevention of hepatopathy
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
disorders, or other causes ... Coagulation disorders CAUSES ... Quantity: • Primary Causes ... • Secondary Causes ... - Protein C/S deficiencies
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery
Nutrient Deficiencies:
 • Most frequent in the malabsorptive surgeries
Nutrient Deficiencies ... Surgery Nutrient Deficiencies ... • Persistent nausea ... EmoryGastroHep #Nutrient #Deficiencies ... Bypass #Surgery #bariatric
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Micronutrient Deficiencies ... • Thiamine - Nausea ... uw_IMresidency #nutrient #Deficiencies ... differential #diagnosis #bariatric
Diagnostic Framework for Hemolysis - Intravascular vs Extravascular Causes
Intravascular Hemolysis:
 • Mechanical Trauma (Microangiopathic hemolytic anemia):
Extravascular Causes ... thrombocytopenic purpura ... Defects: Enzyme deficiencies ... Extravascular #Causes
Bleeding manifestations 
Petechiae are small, flat, red, discrete areas of skin bleeding that are typically <2
areas of the body Purpura ... Purpura due to vasculitis ... Wet purpura is the ... ecchymosis) is caused ... coagulation factor deficiencies
Scurvy (Vitamin C Deficiency) - Diagnosis and Management

Vitamin C is required for hydroxylation of proline residues
iron and folate deficiencies ... • Petechia • Purpura ... • Petechiae, purpura ... , or any other cause ... Henoch-Schonlein purpura