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diagnosis differential algorithm cobalamin gastroenterology management abdominal anemia diabetes dm2 endocrinology gastrointestinal hematology iron low mds metformin myelodysplasia myelodysplastic nutrition
Causes of Pediatric Diarrhea - Differential Diagnosis Algorithm Infectious: • Viral • Bacterial • Parasitic Malabsorption: • Lactase
Causes of Pediatric ... Cystic Fibrosis • Celiac ... Disease • Primary ... Inflammatory Bowel Disease ... #Peds #Pediatrics
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... disease Inflammatory ... #Diarrhea #Workup ... differential #testing #evaluation
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 ... , coeliac disease ... #VitaminB12 #deficiency
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
Gastrointestinal Evaluation ... inflammation or chronic ... tests Test for celiac ... disease with serology ... #workup #diagnosis
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days) Exclude: 1. Causes of acute diarrhea 2. Lactose intolerance 3.
Algorithm for the Evaluation ... of Chronic Diarrhea ... Causes of acute ... Systemic disease ... #algorithm #workup
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... have had prior evaluations ... • Vomiting, diarrhea ... bowel syndrome • Celiac ... poisoning • Celiac
Metformin Pharmacology Summary Mechanisms of Action: • Suppresses gluconeogenesis by the liver • Increases insulin-mediated glucose utilization
agent • Does not cause ... Contraindications: • Chronic ... effects (e.g. diarrhea ... titration • B12 ... deficiency (consider
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... tongue), abd pain, diarrhea ... related to IBD, celiac ... disease, other ... total body stores Evaluation
Causes of Chronic Diarrhea Osmotic Diarrhea 1. Medications: antacids, lactulose, sorbitol 2. Disaccharidase deficiency: lactose intolerance 3.
Causes of Chronic ... Disaccharidase deficiency ... Crohn disease ... mucosal disorders: celiac ... #Diarrhea #Causes
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
formed or don’t work ... Marrow Failure • Chronic ... Myeloproliferative Disease ... Nutritional: vitamin B12 ... Workup: • Complete
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