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diagnosis bypass differential gastric vitamin deficiencies deficiency hematology management nutrient oncology surgery acidosis aplastic classification cobalamin complications copper elevation lactate
Risk Factors and Signs of Copper Deficiency Risk Factors: • Gastrointestinal: Previous upper bowel resection/bariatric surgery, Inflammatory
bowel resection/bariatric ... diarrhoea, Short bowel syndrome ... Cystic fibrosis • Medications ... dental fixatives, Treatment ... Haematological: Anaemia
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery Nutrient Deficiencies: • Most frequent in the malabsorptive surgeries
folate, iron, B12 ... • Persistent nausea ... Phos, Ca+, Bl, B12 ... and Hepatology ... Bypass #Surgery #bariatric
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
• Thiamine - Nausea ... ataxia), Korsakoff syndrome ... • Vitamin B12 ... Bypass #vitamin #nutrition ... differential #diagnosis #bariatric
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... gastric acidity, medications ... conditions, surgeries (bariatric ... Check for IF ab Treatment ... diagnosis #management #nutrition
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... Gastric bypass causes ... and Hepatology
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
and petechiae Causes ... - Antithyroid medications ... - Parvovirus B19 ... Treatment: ... #oncology #hematology
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
group of disorders caused ... skin that are caused ... Platelet Disorders • Nutritional ... : vitamin B12 or ... #diagnosis #hematology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome ... 30mmHg) - Severe anemia ... - HIV/HAART medications
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