18 results
Diagnosing Vitamin B12 and/or Folate Deficiency

It turns out that simply measuring serum levels of B12 or
Diagnosing Vitamin ... inadequate to diagnosis ... with low B12 stores ... #Diagnosis #Nutrition ... #Hematology #ComparisonTable
Chondrodermatitis nodularis 
 - Scaly papule on ear, usually helix 
 - Painful, especially when sleeping
Scaly papule on ear ... changes to the ear ... Chondrodermatitis #Nodularis #Dermatology ... #Diagnosis #Benign ... #Clinical #Photo
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
A presumptive diagnosis ... #Clinical #Photo ... #Dermatology #Herpes ... Mandibularis #Rash #NEJM
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
Iron Deficiency ... - Differential Diagnosis ... diet, Alcoholism, Tea-toast ... #Differential #Diagnosis ... Algorithm #ferritin #hematology
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
dr_supradip 36 year ... sister shared these photos ... could have been diagnosed ... PhysicalExam #clinical #photo ... #dermatology #soles
Iron Deficiency Anemia (IDA)
Tests:
 • MCV/RBC - RBC ↓ in proportion to the ↓ in hemoglobin
Iron Deficiency ... total body iron stores ... DharSaty #Iron #Deficiency ... #ferritin #Fe #diagnosis ... #hematology
Etiologies of Folate Deficiency
 • Decreased dietary intake - uncommon in this era
 • Increased requirements
Etiologies of Folate Deficiency ... mobilize folate stores ... depleted tissue stores ... #differential #diagnosis ... #hematology #nutrition
Bitot's Spots- A 4-year-old boy was brought by his father to the ophthalmology clinic with a
Bitot's Spots- A ... caused by vitamin A deficiency ... Vitamin A deficiency ... #NEJM #clinical ... #photo #ophth #bitot
Xeropthalmia: Pathogenesis and Ocular Manifestations

Decr Visual pigment -> Keratinization, thickening & non-wetting of the conjunctiva
mucins with reduced tear ... with vitamin A deficiency ... conjunctiva) • Bitot's spots ... ophthalmology #diagnosis
Treatment of Thrombotic Thrombocytopenic Purpura (TTP)
Diagnosis of TTP:
 • Rare and severe, ADAMTS13 deficiency
 • Autoimmune
Purpura (TTP) Diagnosis ... severe, ADAMTS13 deficiency ... soon as TTP is diagnosed ... PLEX and RTX • Short-term ... #rheumatology #hematology