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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hematology adultonset arteritis b1 bariatric causes cobalamin deficiencies disease encephalopathy gastroenterology gca giantcell hemolysis mcv morphologic neurology schistocytes signs stills
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management Diagnosis - Caine Criteria (2 of
Management Diagnosis ... Anorexia nervosa Treatment ... development of Korsakoff syndrome ... (chronic B1 deficiency ... #Diagnosis #Management
Diagnostic Framework for Anemia (Morphological Approach - MCV) Low MCV - <80fL - "Microcytic" • Iron deficiency
Diagnostic Framework ... Megaloblastic: Vitamin B12 ... Myelodysplastic syndrome ... morphologic #mcv #differential ... #hematology
Prevention and Treatment of Nutritional Complications after Bariatric Surgery Types of Bariatric Surgery: • Adjustable Gastric Banding
Switch (BPD-DS) Management ... Surgery: • Dumping Syndrome ... Bariatric #Surgery #Diagnosis ... #Differential # ... Treatment #Complications
Differential diagnosis of schistocytes / fragmentation hemolysis: • Thrombotic microangiopathies (TMA) - TTP
Differential diagnosis ... crisis • Severe B12 ... deficiency • Mechanical ... macroangiopathic hemolytic anemia ... #diagnosis #hematology
Vitamin B12 (Cobalamin) Deficiency Etiology: • Vit B12 - aka cobalamin. Present in foods derived from animal
) Deficiency Etiology ... Check for IF ab Treatment ... #Cobalamin #Deficiency ... #diagnosis #management ... #nutrition
Adult-Onset Still's Disease Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia + Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
fraction < 20% Differential ... mevalonate kinase deficiency ... , Schnitzler) Complications ... #management #treatment ... #rheumatology
Etiologies of Vitamin B12 Deficiency • Inadequate intake - Rare but seen in very strict vegans
autoantibodies (pernicious anemia ... malabsorption syndromes ... #differential # ... diagnosis #hematology ... #nutrition
Giant cell arteritis (GCA) Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
and ophthalmic complications ... very remarkable w/differential ... systemic complaints- anemia ... them, but urgent rheumatology ... #Management
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