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diagnosis deficiency algorithm gastroenterology hematology vitamin abdominal abg acid acidbase b12 bariatric base bloodgas bypass cellulitis clinical cobalamin copper deficiencies
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Drugs, H pylori, Celiac ... #differential # ... diagnosis #anemia ... #nutrition
Causes of Iron Deficiency • Inadequate Intake: Vegetarian/vegan diet, Malnutrition • Increased Body Needs: Infants/preschoolers, Pregnancy,
Causes of Iron Deficiency ... Elite athletes • Chronic ... Bleeding, Edema, Celiac ... #differential # ... #nutrition
Causes of Thrombocytosis - Differential Diagnosis Algorithm Spurious: • Artifact (redo CBC) Autonomous: • Essential thrombocytosis • Polycythemia
- Differential ... disorders • Celiac ... disease Tissue ... malignancy • Iron ... deficiency anemia
Causes of Copper Deficiency - Differential Diagnosis Hereditary: - Menkes disease, familial hypoceruloplasminemia Decreased / Inadequate Intake:
Causes of Copper ... Deficiency - Differential ... , Celiac sprue, ... gastrectomy, prolonged diarrhea ... supplementation) or iron
Suspected Celiac Disease - Diagnosis Algorithm Celiac disease suspected: • Signs and symptoms of celiac disease •
disease • Iron-deficiency ... anemia unresponsive ... without discernable cause ... microscopic colitis Differential ... Matthew Ho, MD
Micronutrient Deficiencies After Gastric Bypass Fat-Soluble Vitamins: • Vitamin A - Night/complete blindness, xeropthalmia (pathologic dryness of
• Thiamine - Nausea ... Trace Minerals: • Iron ... immune function, diarrhea ... Bypass #vitamin #nutrition ... #table #differential
Chronic Diarrhea - Workup Osmotic: • Consider food diary and trial avoiding certain foods or meds, Consider
Chronic Diarrhea ... certain foods or meds ... disease Inflammatory ... #diagnosis #differential ... #testing #evaluation
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 ... #Causes #Differential
Vibrio Vulnificus skin infection Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. Vibrio vulnificus part of
marine microbiota & causes ... liver disease, ... , hemolytic anemia ... immunosuppressive meds ... can sequester iron
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
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