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diagnosis differential management nephrology algorithm treatment clinical causes deficiency physicalexam renal rheumatology video b1 encephalopathy hypokalemia migraine nutrition potassium prevention
Demyelinating Diseases - Differential Diagnosis • Inflammatory: MS, ADEM, NMO, Paraneoplastic, Sjogren's, Polyarteritis nodosa, SLE •
Other: Vitamin B12 ... Diagnosis #causes #neurology
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
Dizziness - Differential Diagnosis Framework "Tell me what you mean by dizzy without using the word dizzy." Vertigo:
neuropathy (DM, B12 ... Coordination/Strength: B12 ... Differential #Diagnosis #neurology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Erythropoiesis (B12 ... Diagnosis #Algorithm #nephrology
Wernicke Encephalopathy - Acute Thiamine (B1) Deficiency Clinical Diagnosis - Caine Criteria (2 out of 4):
Acute Thiamine (B1 ... Encephalopathy #Thiamine #B1 ... diagnosis #criteria #neurology
1,3-Beta-D-Glucan and Galactomannan Testing Sensitivity Specificity and False Positives 1,3-Beta-D-Glucan • Cell wall component of many fungi
Mucormycosis • Neg (<60 pg ... Fungal #Testing #FalsePositives
Causes of Dementia / Cognitive Impairment - Differential Diagnosis Algorithm Affecting Multiple Domains • Depression • Delirium Decline
Subdural Hematoma • B12 ... CognitiveImpairment #Dementia #Neurology
Nutrient Deficiencies and Supplementation Post Gastric Bypass Surgery Nutrient Deficiencies: • Most frequent in the malabsorptive surgeries
folate, iron, B12 ... years • Pervasive neurologic ... Phos, Ca+, Bl, B12
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 >
Causes of Metabolic Acidosis - Gap and Non-Gap - Differential Diagnosis Algorithm • Elevated Anion Gap
Elevated Anion Gap > 12 ... AnionGap #NonGap #Nephrology
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