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diagnosis differential cobalamin disease hematology thrombocytosis vitamin aafp crrt evaluation fatigue folate folicacid gastrointestinal homocysteine iron macrocytic macrocytosis managment mma
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Intestine: SIBO, Celiac ... disease, IBD, Lymphoma ... Stomach: Pernicious anemia
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
disease • Iron-deficiency ... anemia unresponsive ... without discernable cause ... Inflammatory (IBD ... #gastroenterology
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
Algorithm for the ... the most likely cause ... recovery also causes ... deficiency. ... #Workup #AAFP
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
Causes of Thrombocytosis ... Inflammatory: • IBD ... disorders • Celiac ... malignancy • Iron deficiency ... anemia #Thrombocytosis
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
, Anemia • Prevalence ... Crohn's > UC Anemia ... restricted diet/deficiency ... /other causes • ... #management
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
iron deficiency ... tests Test for celiac ... change medical management ... #Evaluation #workup ... #diagnosis #gastroenterology
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... • Common Causes ... diarrhea related to IBD ... , celiac disease ... #diagnosis #management
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm Peripheral Smear concerning for malignancy?
hematology for workup ... Acute hemolysis, deficiency ... anemia, Rebound ... Vasculitides, IBD ... , Celiac disease
Celiac Disease - Diagnosis Algorithm IgA TTG has high sensitivity and specificity of ~ 98% and is
Diagnosis Algorithm ... IgA deficiency affects ... in pts with IBS-D ... #gastroenterology ... #workup
Renal Replacement Therapy (RRT) - ICU One Pager Summary Indications (AIEOU): • A: Acidosis (usually severe metabolic)
Dialyzer is rigid case ... in the ICU: • IHD ... (Sustained low efficiency ... daily dialysis): ~12 ... #Therapy #RRT #managment
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