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differential management algorithm causes hematology cardiology workup treatment neurology deficiency anemia dermatology pulmonary signs pediatrics peds rheumatology symptoms syndrome classification
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
Vitamin B12 (Cobalamin ... - aka cobalamin ... level (< 200 pg ... consider other diagnosis ... #diagnosis #management
Causes of Vitamin B12 Deficiency - Cobalamin Decreased Intake Pancreas: Insufficiency Intestine: SIBO, Celiac disease, IBD, Lymphoma, Amyloidosis, Resection,
Causes of Vitamin B12 ... Deficiency - Cobalamin ... pylori infection, B12 ... #Deficiency #Cobalamin ... #differential #diagnosis
Prevalence of Common Nutritional Deficiencies and Supplement Recommendations in Bariatric Patients Calcium, Vitamin B1 (thiamine), Vitamin
Calcium, Vitamin B1 ... thiamine), Vitamin B12 ... (cobalamin), Folic ... Deficiency #Vitamin #Diagnosis
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 Causes of Low Vitamin B12 Levels Low vitamin B12 intake - Vegetarianism, chronic alcoholism and older people Autoimmune
of Low Vitamin B12 ... Levels Low vitamin B12 ... syndrome Food-bound cobalamin ... deficiency #low #cobalamin ... #differential #diagnosis
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) In the diet ... : 5-15 pg/day ( ... min. 1-5) B12 ... Protein HC pH t B12
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios +LR > 3.5: • Overall judgement of ED physician
Exacerbation - Diagnostic ... • BNP < 100 pg ... #physicalexam #diagnosis
Diagnosing Vitamin B12 and/or Folate Deficiency It turns out that simply measuring serum levels of B12 or
Diagnosing Vitamin ... B12 and/or Folate ... serum levels of B12 ... inadequate to diagnosis ... Folate #Deficiency #Diagnosis
Clinically Important Vitamins and Vitamin Deficiency States Fat-soluble Vitamins: • Vitamin A - Xerophthalmia, night blindness,
• Thiamine B1 ... • Riboflavin B2 ... gestation • Vitamin B12 ... #differential #diagnosis
Methylmalonic Acid and Homocysteine Levels in Vitamin B12 and Folate Deficiency • B12 Deficiency: MMA elevated,
Levels in Vitamin B12 ... Deficiency • B12 ... #Homocysteine #B12 ... deficiency #VitaminB12 #diagnosis
Workup for Vitamin B12 and Folate Deficiency #Workup #VitaminB12 #Folate #Deficiency #FolicAcid #Diagnosis #Macrocytosis #MacrocyticAnemia #Algorithm
Workup for Vitamin B12 ... Deficiency #FolicAcid #Diagnosis
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