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diagnosis management differential algorithm treatment clinical cardiology pharmacology causes hematology neurology pediatrics peds pulmonary deficiency nephrology workup anemia rheumatology syndrome
Cobalamin (vitamin B12) In the diet: 5-15 pg/day (min. 1-5) B12 Protein HC pH t B12 Duodenum Stomach 1 B12 R-protein Protein From saliva R-protein Intrinsic factor Pancreas B12 R-Protein Trypsin B12 Terminal ileum B12 IF 2 Specific binding to receptors of
Cobalamin (vitamin B12 ... the diet: 5-15 pg ... day (min. 1-5) B12 ... Protein HC pH t B12 ... IF B12 pH >
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... Etiology: • Vit B12 ... who don't take B12 ... - Low Vit B12 ... level (< 200 pg
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios +LR > 3.5: • Overall judgement of ED physician
• BNP < 100 pg
Clinically Important Vitamins and Vitamin Deficiency States Fat-soluble Vitamins: • Vitamin A - Xerophthalmia, night blindness,
• Thiamine B1 ... • Riboflavin B2 ... gestation • Vitamin B12
Diagnosing Vitamin B12 and/or Folate Deficiency It turns out that simply measuring serum levels of B12 or
Diagnosing Vitamin B12 ... serum levels of B12 ... with low normal B12 ... people with low B12 ... accumulate in B12
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin B12 ... pylori infection, B12 ... BrighamChiefs #Vitamin #B12
Methylmalonic Acid and Homocysteine Levels in Vitamin B12 and Folate Deficiency • B12 Deficiency: MMA elevated,
Levels in Vitamin B12 ... Deficiency • B12 ... #Homocysteine #B12
Prevalence of Common Nutritional Deficiencies and Supplement Recommendations in Bariatric Patients Calcium, Vitamin B1 (thiamine), Vitamin
Calcium, Vitamin B1 ... thiamine), Vitamin B12
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 Radial Fracture Due to Parathyroid Carcinoma- ...A plain radiograph of the left arm showed a diaphyseal
level of 3590 pg ... hormone level was 48 pg
Algorithm for the evaluation of macrocytic anemia. (RBC = red blood cell; MMA = methylmalonic acid.) Physicians
and a vitamin B12 ... Measures of vitamin B12 ... because if vitamin B12 ... that occur with B12
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