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diagnosis evaluation bulimianervosa cobalamin coronavirus covid19 deficiency differential fatigue guide ibd myelitis neurology nutrition perioperative preop preoperative protocol psychiatry risk
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Fatigue and IBD Algorithm ... diet/deficiency symptoms ... active IBD and/or stress ... /other causes • ... #diagnosis #management
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... • Common Causes ... large total body stores ... , alcohol use, symptoms ... Deficiency #diagnosis #management
UCSF COVID-19 Adult Clinical Evaluation Guide - Updated April 10 2020 Clinical Presentation • Fever: hospitalized pts but
3-12% • Cardiac ... : multiple case ... reports of myocarditis ... 28% -> Incr risk complications ... Guide #Diagnosis #Algorithm
Transverse Myelitis Overview Focal inflammatory disorder of the spinal cord resulting in rapid onset of weakness, sensory
monophasic Pathophysiology ... Bilateral signs and/or symptoms ... B12 and copper ... B12, E, D, copper ... Myelitis #diagnosis #management
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
adverse events or complications ... event, follow ACC algorithm ... Cataract Plan for Meds ... VITAMINS/supplements ... medical and surgical management
Bulimia Nervosa: Signs and Symptoms Associated Psychological / Behavioural Features • Feelings of shame, guilt and embarrassment
Nervosa: Signs and Symptoms ... related to complications ... Russell's Sign • Sores ... , scars, calluses ... BulimiaNervosa #pathophysiology
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