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diagnosis hematology iron nutrition thrombocytosis aortic b12 cardiology cardiomyopathy celiac ckd cobalamin dissection endocrinology fatigue fe gastroenterology gastronintestinal hemodialysis lowergibleed
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
- Differential ... Inflammatory: • IBD ... disorders • Celiac disease ... effect following treatment ... malignancy • Iron deficiency
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Pregnancy, EPO treatment ... (IBD, cancer) ... #Iron #Deficiency ... #differential #
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
• Iron-deficiency ... unresponsive to treatment ... without discernable cause ... microscopic colitis Differential ... Inflammatory (IBD
Short Stature - Differential Diagnosis Algorithm Normal Variant, Normal Puberty Onset (BA = CA) • Familial Short
Short Stature - Differential ... Diagnosis Algorithm ... Panhypopituitarism Treatment ... Celiac, IBD) • ... endocrinology #causes
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
Causes of Iron Deficiency ... - Differential ... Diagnosis Algorithm ... cancer, ulcer, IBD ... #Fe #algorithm
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD ... UC Anemia and IBD ... IDA and active IBD ... /other causes • ... #management
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
Diagnosis Algorithm ... Acute hemolysis, deficiency ... Rebound effect from treatment ... Vasculitides, IBD ... , Celiac disease
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... diarrhea related to IBD ... , celiac disease ... Check for IF ab Treatment ... #diagnosis #management
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm Occult (Stool + Occult blood and/or iron deficiency
Diagnosis Algorithm ... blood and/or iron deficiency ... , asymptomatic IBD ... #Diagnosis #Algorithm ... #Causes
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
caused by a tear ... • Aortic valve disease ... Pulse deficit/differential ... deficit • Shock Treatment ... Dissection #diagnosis #management
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