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diagnosis bypass differential gastric management surgery anemia ibs irritable nutrition oncology treatment algorithm aplastic complications cryofibrinogenemia deficiencies deficiency elevatedmcv macrocytic
Types of Bariatric Surgery Adjustable Gastric Banding: • Decreasing in prevalence, 3% of bariatric surgeries performed •
bypassing small bowel ... Complications — dumping syndrome ... internal hernia, bowel ... preserved less dumping syndrome ... and Hepatology
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... deficiencies) Dumping Syndrome ... bolus to the small bowel ... Gastric bypass causes ... and Hepatology
Causes of Anemia with elevated Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Normal Blood Smear •
Causes of Anemia ... • Small Bowel ... Myelodysplastic Syndromes ... Diagnosis #Algorithm #Causes ... #Hematology
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
Irritable Bowel Syndrome (IBS) - Management Global IBS Symptoms: - Limited trial low FODMAP diet
Irritable Bowel ... Syndrome (IBS) - ... Rifaximin- up to 3 courses ... and Hepatology ... #gastroenterology
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... and Hepatology ... IBS #Irritable #Bowel ... #Syndrome #Diagnosis
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
ecchymoses, mucosal bleeding ... and petechiae Causes ... - Parvovirus B19 ... • Parvovirus B19 ... Anemia #oncology #hematology
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
unusual bruising or bleeding ... skin that are caused ... by bleeding (petechiae ... Nutritional: vitamin B12 ... #diagnosis #hematology
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
Paradoxical spontaneous bleeding ... infarction, limb and bowel ... cryoglobulins • Negative causes ... Antiphospholipid syndrome ... #hematology
Etiologies of Vitamin B12 Deficiency • Inadequate intake - Rare but seen in very strict vegans
pump blockers is leading ... Abnormal small bowel ... insufficiency, blind loops syndromes ... malabsorption syndromes ... differential #diagnosis #hematology
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