38 results
Uremic Asterixis on Physical Exam

Dr. Arvind Canchi @arvindcanchi

#Uremia #Asterixis #PhysicalExam #clinical #video #neurology #nephrology
Uremic Asterixis ... arvindcanchi #Uremia ... #Asterixis #PhysicalExam ... #clinical #video ... #neurology #nephrology
Clinically Important Vitamins and Vitamin Deficiency States
Fat-soluble Vitamins: 
 • Vitamin A - Xerophthalmia, night blindness,
Clinically Important ... Deficiency States ... B12 - Anaemia, ... #Deficiency #differential ... signs #symptoms #nutrition
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 ... BrighamChiefs #Vitamin ... #B12 #Deficiency
Micronutrient Deficiencies After Gastric Bypass
Fat-Soluble Vitamins:
 • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Folate - Macrocytic anemia ... • Vitamin B12 ... - Macrocytic anemia ... Minerals: • Iron - Anemia ... cognitive dysfunction, anemia
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.)
Physicians
of macrocytic anemia ... elevated, but anemia ... B12 deficiency ... megaloblastic anemia ... Macrocytosis #Macrocytic #Anemia
Asterixis in patient with uremia on Physical Exam

Dr. Muner Mohamed @MunerMohamed1

#Asterixis #tremor #PhysicalExam #neurology #uremia #clinical
Asterixis in patient ... with uremia on ... #PhysicalExam #neurology ... #uremia #clinical ... #video #hands #nephrology
Asterixis (flapping tremor) in uremia on Physical Exam
Asterixis (flapping tremor) in a patient with AKI, azotemia
Asterixis (flapping ... tremor) in uremia ... and confusion = uremia ... #PhysicalExam #neurology ... #uremia #clinical
Pancytopenia - Differential Diagnosis

Congenital Diseases:
• GATA2 deficiency
• Fanconi’s anemia
• Wiskott-Aldrich syndrome
• Ribosomopathy or telomeropathy

Cancer:
• Leukemia
• Lymphoma

Inflammatory
Diseases: • GATA2 deficiency ... • Fanconi’s anemia ... Antibody-mediated hemolysis Nutritional ... consumption • Vitamin ... B12 • Folate deficiency
Diagnostic Framework for Anemia (Morphological Approach - MCV)
Low MCV - <80fL - "Microcytic"
 • Iron deficiency
Framework for Anemia ... thalassemia • Anemia ... Megaloblastic: Vitamin ... B12 deficiency, ... differential #diagnosis #causes
Asterixis due to Uremia on Physical Exam

29 year old male came in due to decreasing sensorium
Asterixis due to ... Uremia on Physical ... metabolic acidosis and uremia ... #Uremia #PhysicalExam ... #nephrology #clinical