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diagnosis differential gastroenterology cobalamin neurology abdominal adrenal algorithm anemia compared comparison dermatology diarrhea endocrinology erythemas falls gastrointestinal geriatrics hematology insufficiency
Gastrointestinal Evaluation of Iron Deficiency Anemia In patients with anemia, diagnose iron deficiency if: • Ferritin <
inflammation or chronic ... tests Test for celiac ... disease with serology ... Non-invasive testing ... #workup #diagnosis
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... - Workup Osmotic ... certain foods or meds ... for celiac disease ... #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
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Pain Causes - Differential ... have had prior evaluations ... , physical and testing ... bowel syndrome • Celiac ... poisoning • Celiac
Causes of Neuromuscular Weakness • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Causes of Neuromuscular ... Demyelinating Disease ... poisoning, Scorpion sting ... Shellfish poisoning, Meds ... : Acid maltase deficiency
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... • Common Causes ... related to IBD, celiac ... disease, other ... total body stores Evaluation
Celiac Disease - Diagnosis Algorithm IgA TTG has high sensitivity and specificity of ~ 98% and is
Celiac Disease - ... serologic marker for evaluating ... IgA deficiency affects ... pts need further testing ... gastroenterology #workup
Erythemas Summarized Erythema ab igne • A dermatosis that results from repeated exposure to heat (fires, heating
pads, heating blankets ... early localized disease ... called "Bazin's disease ... acute Parvovirus B19 ... so-called fifth disease
Primary Adrenal Insufficiency: • ACTH stimulation test - Synthetic ACTH does not stimulate cortisol secretion because
secretion; in chronic ... as a result of chronic ... Insufficiency #Evaluation ... laboratory #diagnosis #testing ... endocrinology #workup
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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