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Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Patients with cirrhosis ... and hematologic ... If other causes ... saturation. ... #hemochromatosis
Causes of Hyperferritinemia - Differential Diagnosis
Ferritin > 1000
Ferritin is the storage form of iron. Increased hepcidin
is made in the liver ... Hematologic Malignancy ... Check the iron saturation ... Sideroblastic anemia ... use can mimic hemochromatosis
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
Causes of Anemia ... Volume (<80 fL) • Iron ... Renal Disease, Liver ... Reticulocytosis • Liver ... #Hematology
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
skin infection Cirrhosis ... sepsis: chronic liver ... /hemochromatosis ... , hemolytic anemia ... rash #cellulitis #dermatology
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
Spoon-shaped • Iron ... deficiency anemia ... discoloration) • Liver ... cirrhosis • Congestive ... Systemic #Secondary #dermatology
Diagnostic Framework for Anemia (Morphological Approach - MCV)
Low MCV - <80fL - "Microcytic"
 • Iron deficiency
Framework for Anemia ... Microcytic" • Iron ... : Alcohol use, Liver ... differential #diagnosis #causes ... #hematology
Hemochromatosis is a disorder associated with deposits of excess iron that causes multiple organ dysfunction. Hemochromatosis
deposits of excess iron ... that causes multiple ... mildly elevated liver ... Liver transplantation ... @DharSaty #Cirrhosis
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4)

Work-up of an Elevated Globulin Gap:
•
Sarcoidosis) • Liver ... disease: Cirrhosis ... gastric tumors • Hematology ... Thalassemia, Sickle cell anemia ... differential #diagnosis #hematology