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management algorithm cobalamin differential vitaminb12 aafp falls folate folicacid geriatrics hematology homocysteine ibd macrocytic macrocytosis mds myelodysplasia myelodysplastic neurology nutrition
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
Algorithm for the evaluation ... red blood cell; MMA ... the most likely cause ... 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 ... , coeliac disease ... #differential #diagnosis
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
• Common Causes ... slowing, neuropathy, fatigue ... related to IBD, celiac ... disease, other ... - Elevated MMA
Fatigue and IBD Algorithm • 40-50% patients have fatigue despite clinical remission • Risk factors: BMI,
(B12, MMA) for ... restricted diet/deficiency ... despite disease ... /other causes • ... IBD #Algorithm #diagnosis
Myelodysplastic Syndromes (MDS) What? Myelodysplastic syndromes are a group of disorders caused by blood cells that are poorly
formed or don’t work ... Symptoms: • Fatigue ... Myeloproliferative Disease ... Nutritional: vitamin B12 ... Myelodysplastic #Syndromes #diagnosis
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary WHAT? • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
of unknown cause ... fevers, anorexia, fatigue ... • An evaluation ... greater than 50 mm ... • Normocytic anemia
Evaluation of Recurrent Falls Core Concept: Maintaining an upright posture requires the integrated function of multiple systems. Disruption in
Evaluation of Recurrent ... embolism - Severe anemia ... e.g., diabetic, B12 ... deficiency) ... Recurrent #Falls #Diagnosis
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