12 results
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
Fatigue and IBD ... , Anemia • Prevalence ... Crohn's > UC Anemia ... /other causes • ... #IBD #Algorithm
Causes of Thrombocytosis - Differential Diagnosis Algorithm
Spurious:
 • Artifact (redo CBC)
Autonomous:
 • Essential thrombocytosis
 • Polycythemia
Causes of Thrombocytosis ... Inflammatory: • IBD ... • Rheumatic disorders ... effect following treatment ... Iron deficiency anemia
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Hematologic • Anemia ... • Somatization Disorder ... #Chronic #Fatigue ... #causes
Overall Approach to Anemia - Differential Diagnosis Algorithm

Blood Loss
 • Acute Bleed - Normocytic / Normochromic
Differential Diagnosis Algorithm ... RBCs on Smear • Chronic ... Deficiency • B12 ... • Anemia of Chronic ... #Causes #Hematology
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
disease causing hypoxemia ... • COPD, ILD, ... hemolytic anemia ... , thyroid disorders ... , sickle cell anemia
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... dysfunction, and/or disorders ... slowing, neuropathy, fatigue ... attributable to tissue hypoxia ... Check for IF ab Treatment
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
Iron-deficiency anemia ... unresponsive to treatment ... without discernable cause ... Inflammatory (IBD ... #gastroenterology
Causes of Intrauterine Growth Restriction / Small for Gestational Age - Differential Diagnosis Algorithm
Fetal Factors:
 -
Causes of Intrauterine ... previa • Chronic ... • Autoimmune disorders ... Drugs - Maternal Hypoxemia ... anemia
Acute Pouchitis - Management Algorithm
Ciprofloxacin 500 mg/12 h or metronidazole 20 mg/kg/d x 2 weeks
 -
Pouchitis - Management Algorithm ... Ciprofloxacin 500 mg/12 ... - No Response (Chronic ... #treatment #IBD ... #gastroenterology
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... Renal failure (uremia ... , pain, fever, hypoxia ... with associated hypoxia ... #AcidBase #disorders