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diagnosis signs syndrome differential endocrinology psychiatry 21hydroxylasedeficiency 21ohd acute anorexianervosa bariatric bulimianervosa bypass closedangle diabetes diabeticketoacidosis dka gastric gastroenterology genetics
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Refeeding Syndrome ... severe clinical complications ... overload) Other Symptoms ... , K, Mg2+) • Slow ... Differential #Diagnosis #Pathophysiology
Refeeding Syndrome: Pathogenesis and clinical findings Patients at Risk of Refeeding Syndrome: - Little or no nutritional
Refeeding Syndrome ... weight loss - Low ... disturbances: low ... Syndrome #diagnosis #pathophysiology ... #symptoms #signs
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
Signs/Symptoms/Complications ... • Early: decr feeding ... #21HydroxylaseDeficiency #21OHD #pathophysiology
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Complications after ... hypoalbuminemia • Consider refeeding ... treatment, but high complication ... and vasomotor symptoms ... Tx: Small and low
Acute Closed Angle Glaucoma: Pathogenesis and Clinical Findings OPHTHALMIC EMERGENCY: Early detection is essential, but most patients
lights are a key symptom ... resistance to the flow ... blindness Signs / Symptoms ... / Complications ... ClosedAngle #Glaucoma #pathophysiology
Diabetic Ketoacidosis (DKA) - Pathogenesis and Clinical Findings • Note: in DKA, body K+ is lost
produces them when low ... precipitant. 5) treat low ... Signs/Symptoms/Complications ... DiabeticKetoacidosis #DKA #pathophysiology
Anorexia Nervosa: Complications CARDIAC ABNORMALITIES - Functional: Low BP, Sinus bradycardia, prolonged QT interval - Structural: Reduced
Anorexia Nervosa: Complications ... Death - Cardiac complications ... AnorexiaNervosa #Complications ... #pathophysiology ... diagnosis #signs #symptoms
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
alkalosis • Normal or low ... acidosis (RTA)) • Refeeding ... diarrhea Potential Complications ... nephrology #management #pathophysiology
Bulimia Nervosa: Complications GASTROINTESTINAL • Dehydration & inability to digest food -> Constipation • Recurrent vomiting exposes
Bulimia Nervosa: Complications ... hormonal imbalances (low ... BulimiaNervosa #Complications ... #pathophysiology ... diagnosis #signs #symptoms
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