13 results
Causes of Vitamin B12 Deficiency - Cobalamin
Decreased Intake
Pancreas: Insufficiency
Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Stomach: Pernicious anemia ... #Deficiency #Cobalamin ... #differential #
Causes of Low Vitamin B12 Levels
Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people
Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... vitamin B12 intake ... #low #cobalamin ... #differential #
Asterixis (flapping tremor) in uremia on Physical Exam
Asterixis (flapping tremor) in a patient with AKI, azotemia
Asterixis (flapping ... #tremor #PhysicalExam ... #neurology #uremia ... #clinical #video ... #hands
Asterixis in patient with uremia on Physical Exam

Dr. Muner Mohamed @MunerMohamed1

#Asterixis #tremor #PhysicalExam #neurology #uremia #clinical
Asterixis in patient ... #tremor #PhysicalExam ... #neurology #uremia ... #clinical #video ... #hands #nephrology
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... ) Deficiency Etiology ... • Common Causes ... intrinsic factor, IF) Clinical ... #Cobalamin #Deficiency
Unilateral Asterixis on Neurological Examination

This patient presented for 3 days of sudden repetitive left hand weakness/dropping
Unilateral Asterixis ... Caused by Stroke ... #clinical #video ... #neurology #physicalexam ... #hands
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
fatigue despite clinical ... Crohn's > UC Anemia ... Receptor (sTfR) to differentiate ... restricted diet/deficiency ... /other causes
Unilateral Asterixis on Neurological Examination

Unilateral asterixis is almost always associated with a structural contralateral cerebral or
Unilateral Asterixis ... In this case, this ... #clinical #video ... #neurology #physicalexam ... #hands
Low Alkaline Phosphatase - Hypophosphatasia 

Is Low Alkaline Phosphatase Of Clinical Importance?

ALP enzyme- Discovered in 1923
Low
Phosphatase Of Clinical ... • Pernicious anemia ... /B12 deficiency ... respiratory failure • Neurologic ... Phosphatase: • Other causes
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
with systemic, neurologic ... Diagnosis = clinical ... very remarkable w/differential ... variably: On one hand ... systemic complaints- anemia