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causes deficiency algorithm hematology gastroenterology nutrition workup chronic gastrointestinal management abdominal b12 cobalamin diarrhea disorders fe ferritin gastronintestinal hospitalization lowergibleed
Gastrointestinal Causes of Iron Deficiency Anemia • Mass lesions: Carcinoma, Large polyps • Inflammatory: Reflux esophagitis,
Deficiency Anemia ... Mass lesions: Carcinoma ... or colon ulcer, Celiac ... #Causes #differential ... #diagnosis
Iron Deficiency Anemia - Differential Diagnosis Algorithm Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR • Blood loss:
Anemia - Differential ... Diagnosis Algorithm ... • Blood loss: GI ... - Structural: Celiac ... disease, Tropical
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... with anemia, diagnose ... tests Test for celiac ... disease with serology ... #workup #diagnosis
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Loss (without anaemia ... ): GI cancers, Donations ... Bleeding, Edema, Celiac ... #differential # ... diagnosis #causes
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
Disease - Diagnosis ... disease • Iron-deficiency ... anemia unresponsive ... microscopic colitis Differential ... #Disease #Diagnosis
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Drugs, H pylori, Celiac ... : IBD, Chronic disease ... Deficiency #Causes #differential ... #diagnosis #anemia
Causes of Iron Deficiency - Differential Diagnosis Algorithm • Blood loss: GI (cancer, ulcer, IBD), GU
- Differential ... Diagnosis Algorithm ... • Blood loss: GI ... of absorption): Celiac ... disease, Bypass
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
Diagnosis Algorithm ... disorders • Celiac ... disease Tissue ... malignancy • Iron ... deficiency anemia
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... have had prior evaluations ... Hepatocellular carcinoma ... mesenteric ischemia • GI ... poisoning • Celiac
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
certain foods or meds ... Consider testing for celiac ... disease Inflammatory ... #differential # ... testing #evaluation
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