622 results
Uremic Asterixis on Physical Exam

Dr. Arvind Canchi @arvindcanchi

#Uremia #Asterixis #PhysicalExam #clinical #video #neurology #nephrology
arvindcanchi #Uremia ... PhysicalExam #clinical #video ... #neurology #nephrology
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Stomach: Pernicious anemia ... malabsorption, Gastritis
Gastrointestinal Causes of Iron Deficiency Anemia
 • Mass lesions: Carcinoma, Large polyps
 • Inflammatory: Reflux esophagitis,
Iron Deficiency Anemia ... lesions, Erosive gastritis ... Iron #Deficiency #Anemia
Asterixis (flapping tremor) in uremia on Physical Exam
Asterixis (flapping tremor) in a patient with AKI, azotemia
flapping tremor) in uremia ... and confusion = uremia ... #PhysicalExam #neurology ... #uremia #clinical ... #video #hands
Gastric Neuroendocrine Tumor (NET) Types
Type 1 - Chronic atrophic gastritis and pernicious anaemia
Type 2 - Zollinger
Chronic atrophic gastritis ... and pernicious anaemia
Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Autoimmune - Pernicious anaemia ... malabsorption - Atrophic gastritis ... , chronic gastritis ... pylori-associated gastritis
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
Iron Deficiency Anemia ... pylori, Atrophic gastritis ... Iron #Deficiency #Anemia
Gastrointestinal Evaluation of Iron Deficiency Anemia
In patients with anemia, diagnose iron deficiency if:
 • Ferritin <
Iron Deficiency Anemia ... patients with anemia ... celiac disease with serology ... biopsy only if serology ... Iron #Deficiency #Anemia
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Asterixis due to Uremia ... metabolic acidosis and uremia ... #Asterixis #Uremia ... #PhysicalExam #nephrology ... #clinical #video
Causes of Iron Deficiency
 • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
↓ Absorption: Gastritis ... differential #diagnosis #anemia