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differential causes deficiency algorithm gastroenterology nutrition workup diarrhea euvolemic gastrointestinal hematology hypervolemic hyponatremia hypovolemic im pseudohyponatremia signs symptoms testing thrombocytosis
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... with anemia, diagnose ... inflammation or chronic ... tests Test for celiac ... disease with serology
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
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
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
Celiac Disease - Clinical Manifestations Gastrointestinal Manifestations: • Diarrhea, Loose stools, Dyspepsia, Flatulence, Chronic abdominal pain,
Celiac Disease - ... , Hepatitis • Iron-deficiency ... anaemia • Arthralgia ... #Disease #signs ... #symptoms #diagnosis
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