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deficiency differential iron causes workup algorithm b12 cobalamin diarrhea euvolemic gastroenterology gastrointestinal hypervolemic hyponatremia hypovolemic im management nephro pseudohyponatremia testing
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Elite athletes • Chronic ... Loss (without anaemia ... Bleeding, Edema, Celiac ... #differential #diagnosis ... #causes #nutrition
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
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... , diagnose iron ... 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
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
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
related to IBD, celiac ... disease, other ... total body stores Evaluation ... consider other diagnosis ... #management #nutrition
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