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diagnosis differential hematology bariatric deficiencies gastric mcv vitamin algorithm bloodcell calculation causes gastroenterology index mds microscopy morphologic morphology myelodysplasia myelodysplastic
Algorithmic Approach to Anemia - Differential Diagnosis Framework by MCV Microcytic (MCV < 80) "TAILS": • Thalassemia
inflammation) • Iron ... Infections Macrocytic ... Megaloblastic: Folate ... deficiency, B12 ... Differential #Diagnosis #hematology
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
- Macrocytic anemia ... • Vitamin B12 ... - Macrocytic anemia ... Trace Minerals: • Iron ... #vitamin #nutrition
Diagnostic Framework for Anemia (Morphological Approach - MCV) Low MCV - <80fL - "Microcytic" • Iron deficiency
" • Iron deficiency ... MCV - >96fL - "Macrocytic ... Megaloblastic: Vitamin B12 ... deficiency, Folate ... diagnosis #causes #hematology
Red Blood Cell (RBC) Morphology Microcytic RBC: Pyridoxine deficiency, Thalassemia, Iron deficiency anemia, Chronic disease anemia (sometimes),
deficiency anemia ... RBC: Vitamin B12 ... or Folate deficiency ... deficiency anemia ... #microscopy #atlas
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery Nutrient Deficiencies: • Most frequent in the malabsorptive surgeries
common are Vit D, folate ... , iron, B12 and ... years • Pervasive neurologic ... Phos, Ca+, Bl, B12 ... , Vit D, Folate,
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor The maturation factor is
inflammation • Nutrient ... deficiencies: Iron ... loss), Vitamin B12 ... , Folate • Hormone ... , G6PD deficiency
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
common cytopenia: Macrocytic ... Platelet Disorders • Nutritional ... : vitamin B12 or ... folic acid deficiency ... rings of excess iron
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