22 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
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
and Bloating - Treatment ... Algorithm Definitions ... obstruction (CIPO) Disorders ... Obineme, MD @TypicallySilent ... #Treatment #gastroenterology
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
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... dysfunction, and/or disorders ... slowing, neuropathy, fatigue ... diarrhea related to IBD ... Check for IF ab Treatment
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
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Presentation: • Fever • Fatigue ... and petechiae Causes ... myelodysplastic syndrome (MDS ... Hypocellular/Hypoplastic MDS ... Treatment:
Approach to Thrombocytosis - Elevated Platelet Count - Differential Diagnosis Algorithm

Peripheral Smear concerning for malignancy?
hemolysis, deficiency anemia ... Rebound effect from treatment ... Vasculitides, IBD ... • Infections: Chronic ... Matthew Ho, MD