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differential algorithm causes deficiency nutrition testing workup abdominal diarrhea euvolemic gastrointestinal gluten hematology hypervolemic hyponatremia hypovolemic im nephro pain pseudohyponatremia
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
with anemia, diagnose ... inflammation or chronic ... tests Test for celiac ... disease with serology ... #gastroenterology
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
Disease - Diagnosis ... disease • Iron-deficiency ... anemia unresponsive ... #Disease #Diagnosis ... #Algorithm #gastroenterology
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Drugs, H pylori, Celiac ... Inflammation: IBD, Chronic ... disease (↑ hepcidin ... #differential #diagnosis ... #anemia #nutrition
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Elite athletes • Chronic ... Loss (without anaemia ... Bleeding, Edema, Celiac ... #differential #diagnosis
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
- Differential Diagnosis ... disorders • Celiac ... disease Tissue ... malignancy • Iron ... deficiency anemia
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
and Evaluation ... onset (acute vs. chronic ... , liver, renal disease ... #EM #IM #Nephro ... Differential #Algorithm #Ddxof
Celiac Disease - Clinical Manifestations Gastrointestinal Manifestations: • Diarrhea, Loose stools, Dyspepsia, Flatulence, Chronic abdominal pain,
Celiac Disease - ... , Hepatitis • Iron-deficiency ... anaemia • Arthralgia ... #symptoms #diagnosis ... #gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
- Differential Diagnosis ... have had prior evaluations ... did not yield a diagnosis ... poisoning • Celiac ... #gastroenterology
Celiac Disease Testing Algorithm INDICATIONS FOR TESTING: Nonspecific symptoms (iron-deficiency anemia, failure to thrive, fever, skin
Celiac Disease Testing ... Nonspecific symptoms (iron-deficiency ... anemia, failure ... #Algorithm #diagnosis ... #gastroenterology
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... certain foods or meds ... Consider testing for celiac ... disease Inflammatory ... differential #testing #evaluation
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