13 results
Etiologies of Folate Deficiency
 • Decreased dietary intake - uncommon in this era
 • Increased requirements
Etiologies of Folate Deficiency ... develop folate deficiency ... mobilize folate stores ... depleted tissue stores ... #FolicAcid #differential
Allopecia - Differential Diagnosis Framework for Hair Loss

Localized / Focal Hair Loss Pattern:
 • Scarring Alopecia:
Allopecia - Differential ... Lithium • Stress ... texture at bald spots ... Major psychologic stress ... loss #alopecia #Differential
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
and Management ... Management: • ... Aeruginosa - Strep ... Differential Diagnosis ... #pulmonary #differential
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Assess for high ... Pulse deficit/differential ... reduce aortic wall stress ... Dissection #diagnosis #management
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Receptor (sTfR) to differentiate ... restricted diet/deficiency ... active IBD and/or stress ... Algorithm #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Marantic (NTBE) Differential ... annular or aortic abscess ... Complications: Abscess ... Endocarditis #diagnosis #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... large total body stores ... B12 #Cobalamin #Deficiency ... #diagnosis #management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
breakdown of glycogen stores ... drastically elevates the stress ... with circulating stress ... #diagnosis #differential ... #algorithm #management
Liver Abscess and Mimics - Differential Diagnosis
Most Common: Polymicrobial, E Coli, Klebsiella, Strep/Enterococcus, Staph, Anaerobes
Infectious Differential:
Liver Abscess and ... Mimics - Differential ... Coli, Klebsiella, Strep ... AnnKumfer #Liver #Abscess ... Diagnosis #hepatology #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... malignancy, or thiamine deficiency ... assessment - assess ... effect - Thiamine deficiency