Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis differential hematology pancytopenia aortic bariatric bypass complications deficiency dissection endo eosinophil eosinophilia gastric gastroenterology hemolytic im iron management nutrition
Pancytopenia - Workup and Differential Diagnosis Algorithm Consumption Disorders 1. Autoimmune Mediated Pancytopenia 2. Splenic Sequestration Peripheral Destruction
Pancytopenia - Workup ... Consumption Disorders ... Eating disorders ... Bariatric surgery ... Acquired Aplastic Anemia
Eosinophil Disorders Testing Algorithm INDICATIONS FOR TESTING: • Peripheral blood eosinophilia/hypereosinophilia uncovered incidentally during medical evaluation or
Eosinophil Disorders ... Testing Algorithm ... evaluation or workup ... 1,500 cells/µL Workup ... for secondary causes
Pancytopenia - Workup and Differential Diagnosis Algorithm Consumption Disorders 1. Autoimmune Mediated Pancytopenia 2. Splenic Sequestration Peripheral Destruction
Pancytopenia - Workup ... Consumption Disorders ... Eating disorders ... Bariatric surgery ... Acquired Aplastic Anemia
Causes of Iron Deficiency • Diet: ↓ Intake, e.g. vegan, Malnutrition, Polyphenol / tannins, ↓ Vitamin
Causes of Iron Deficiency ... Absorption: Gastritis, Surgery ... Inflammation: IBD ... Iron metabolism disorders ... differential #diagnosis #anemia
Hemolytic Anemia - Differential Diagnosis Algorithm • Sickle cells - Consider sickle cell disease (diverse genotypes):
Hemolytic Anemia ... Differential Diagnosis Algorithm ... Consider RBC membrane disorder ... #workup #hematology ... #testing
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection is caused ... presenting with chest/abd ... at onset • Tearing ... Connective tissue disorder ... • Cardiac surgery
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
edema, muscle wasting ... (N/V bloating, abd ... minutes to 1hr after eating ... after RYGB • Disorder ... Gastric bypass causes
A blood test and/or 24 hour urine collection for the breakdown product of adrenaline & noradrenaline
medications and disorders ... blood or urine testing ... In certain cases ... Diagnosis #IM #Endo #Surgery ... Pheo #Diagnosis #Algorithm
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