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differential cobalamin management nutrition algorithm pediatrics physicalexam vitamin vitaminb12 aafp aplastic ascorbicacid classification disease em examination extremity falls folate folicacid
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin ... B12 Deficiency ... Intestine: SIBO, Celiac ... Stomach: Pernicious anemia ... #differential #diagnosis
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Increased Body Needs: Infants ... Loss (without anaemia ... Bleeding, Edema, Celiac ... #differential #diagnosis
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
Algorithm for the evaluation ... the most likely cause ... recovery also causes ... deficiency. ... #Diagnosis #Macrocytosis
Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
Causes of Low Vitamin ... B12 Levels Low ... vitamin B12 intake ... Crohn 's disease, coeliac ... #differential #diagnosis
Serious Bacterial Illness (SBI): 1) UTI and pyelonephritis Most common cause of SBI Accounts for 3-8% of uncharacterized fevers Female
pyelonephritis Most common cause ... uncharacterized fevers ... Consider BCx, CSF evaluation ... #Peds #EM #Classification ... #Ddxof
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... • Common Causes ... related to IBD, celiac ... total body stores Evaluation ... #Cobalamin #Deficiency
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Presentation: • Fever ... and petechiae Causes ... , GATA2 deficiency ... , CTLA4 deficiency ... oncology #hematology #diagnosis
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
Evaluation of suspected ... Infants ≤6 months ... old on day ≥7 of fever ... Albumin ≤3.0 g/dL, anemia ... #Diagnosis #Peds
Leg Pain - Differential Diagnosis Framework Bone/Joint Causes of Leg Pain: • Fracture • Arthritis • Gout/pseudogout
- Differential Diagnosis ... Neuropathy (DM, Vit B12 ... , B6, Cu deficiency ... pain/swelling - Fever ... #differential #diagnosis
Scurvy (Vitamin C Deficiency) - Diagnosis and Management Vitamin C is required for hydroxylation of proline residues
Scurvy (Vitamin C Deficiency ... ) - Diagnosis and ... eating habits • Infants ... Ill temper • Fever ... , or any other cause
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