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diagnosis algorithm management cobalamin folate folicacid hematology homocysteine ibd mds myelodysplasia myelodysplastic nutrition oncology syndromes vitamin vitaminb12 workup
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
evaluation of macrocytic ... red blood cell; MMA ... deficiency. ... #Macrocytic #Anemia ... Algorithm #Workup #AAFP
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
Crohn's > UC Anemia ... If persistent macrocytosis ... Receptor (sTfR) to differentiate ... (B12, MMA) for ... restricted diet/deficiency
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... : • Worsening macrocytic ... slowing, neuropathy, fatigue ... hypersegmented neutrophils, macrocytosis ... - Elevated MMA
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
Symptoms: • Fatigue ... common cytopenia: Macrocytic ... Nutritional: vitamin B12 ... or folic acid deficiency ... blood count with differential
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