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diagnosis differential nutrition oncology surgery deficiencies nutrient vitamin aplastic b12 complications deficiency disorders gap globulin leukemia management mds myelodysplasia myelodysplastic
Types of Bariatric Surgery Adjustable Gastric Banding: • Decreasing in prevalence, 3% of bariatric surgeries performed •
Complications — dumping syndrome ... preserved less dumping syndrome ... TypicallySilent via Emory Gastroenterology ... and Hepatology ... #bypass #gastroenterology
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... bypass causes increased ... and Hepatology ... Complications #gastric ... #bypass #gastroenterology
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
Deficiencies After Gastric ... Bypass Fat-Soluble ... • Thiamine - Nausea ... ataxia), Korsakoff syndrome ... differential #diagnosis #bariatric
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery Nutrient Deficiencies: • Most frequent in the malabsorptive surgeries
Supplementation Post Gastric ... Bypass Surgery ... • Persistent nausea ... and Hepatology ... #bariatric #gastroenterology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
- History of bleeding ... changes), high MCV anemia ... (vegan, gastric ... bypass), LFT (liver ... #Workup #hematology
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Constitutional Syndromes ... ecchymoses, mucosal bleeding ... and petechiae Causes ... of CD34+ cells is ... #oncology #hematology
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
group of disorders caused ... unusual bruising or bleeding ... by bleeding (petechiae ... Out Secondary Causes ... #diagnosis #hematology
Leukemias Overview: ALL, CML, AML, APML, CLL Acute leukemias > 20% blasts in the peripheral blood smear
-> AML: Blast crises ... develop leukostasis syndrome ... - infiltrates (anemia ... • Tumor lysis syndrome ... #Leukemia #Hematology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
changes (POEMS syndrome ... renal tumors, gastric ... tumors • Hematology ... Thalassemia, Sickle cell anemia ... differential #diagnosis #hematology
Etiologies of Vitamin B12 Deficiency • Inadequate intake - Rare but seen in very strict vegans
• Abnormal gastric ... leading to an increased ... autoantibodies (pernicious anemia ... malabsorption syndromes ... differential #diagnosis #hematology
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