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diagnosis differential management algorithm bypass gastric hematology nutrition oncology surgery vitamin abdominal abg acid acidbase base bloodgas cobalamin complications deficiencies
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Fundoplication, Bariatric ... obstruction (CIPO) Disorders ... Syndrome • Chronic ... #gastroenterology
Causes of Anemia with elevated Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Normal Blood Smear •
Causes of Anemia ... • Small Bowel ... Disorder ... Myelodysplastic Syndromes ... Diagnosis #Algorithm #Causes
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... bolus to the small bowel ... Gastrointestinal (N/V bloating ... after RYGB • Disorder ... Gastric bypass causes
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
• Thiamine - Nausea ... ataxia), Korsakoff syndrome ... • Vitamin B12 ... vitamin #nutrition #table ... differential #diagnosis #bariatric
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... of stool * Bloating ... for diagnosis Treatment ... #treatment
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... dysfunction, and/or disorders ... wt loss • If anemia ... conditions, surgeries (bariatric ... Check for IF ab Treatment
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
are a group of disorders ... caused by blood ... skin that are caused ... Neutropenia • Platelet Disorders ... Nutritional: vitamin B12
Ileal Pouch Disorders - Differential Diagnosis • Surgical/Mechanical: Anastomotic leak, Pelvic sepsis, Sinus, Fistula, Strictures, Efferent
Ileal Pouch Disorders ... Small bowel bacterial ... Systemic/Metabolic: Anemia ... Bone loss, Vit D/B12 ... Diagnosis #surgery #gastroenterology
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... D-lactate (short bowel ... syndrome, intestinal ... Renal failure (uremia ... #AcidBase #disorders
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
- Simultaneous clotting ... Treat underlying cause ... urinary retention, bowel ... treat - Calcium > 12 ... → no immediate treatment
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