TdC 129: Vitamina B12 - 7 Armadilhas!

from Ta de Clinicagem · host tadeclinicagem

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨João, Rapha e Joca discutem 7 armadilhas sobre Vitamina B12! 1. Nem toda anemia macrocítica é deficiência de B12 2. B12 pode causar manifestações além da anemia 3. Qual é o valor de corte normal de B12? 4. Não é apenas baixa ingestão de B12 que causa deficiência de B12 5. Como repor B12, via oral ou IM/EV? 6. Qual é a dose ideal de B12? 7. O que causa B12 alta? Referências: 1. Uptodate. Fevereiro 2022.Causes and pathophysiology of vitamin B12 and folate deficiencies. Robert T Means, Kathleen M Fairfield, Kathleen J Motil, Jennifer S Tirnauer. 2. UPTODATE Fev 2022. Macrocytosis/Macrocytic anemia. Robert A Brodsky, William C Mentzer, Jennifer S Tirnauer. 3. Uptodate Fev 2022. Clinical manifestations and diagnosis of vitamin B12 and folate deficiency. Robert T Means, Kathleen M Fairfield, William C Mentzer, Jennifer S Tirnauer, Lisa Kunins. 4. KAPTAN, Kürşad et al. Helicobacter pylori—is it a novel causative agent in vitamin B12 deficiency?. Archives of Internal Medicine, v. 160, n. 9, p. 1349-1353, 2000. 5. HU, Yanfeng et al. Vitamin B12 deficiency after gastrectomy for gastric cancer: an analysis of clinical patterns and risk factors. Annals of surgery, v. 258, n. 6, p. 970-975, 2013. 6. Devalia, V., Hamilton, M. S., & Molloy, A. M. (2014). Guidelines for the diagnosis and treatment of cobalamin and folate disorders. British Journal of Haematology, 166(4), 496–513. 7. Parks NE. Metabolic and Toxic Myelopathies. Continuum (Minneap Minn). 2021 Feb 1;27(1):143-162.

What this episode covers

🚨 www.tadeclinicagem.com.br/guia - Conheça o Guia TdC com 7 dias grátis 🚨 🔴 Junte-se aos mais de 1.000 assinantes. Assine o Guia, ganhe tempo e atualize-se sem esforço. 🟠 Um serviço de revisão e atualização continuados em clínica médica. A informação que você precisa, do jeito que você prefere. 📚 Confira agora mesmo a edição aberta do Guia TdC sobre a Nova Diretriz de Hiperglicemia no Paciente Internado: https://www.tadeclinicagem.com.br/guia/edition/revisao-2 João, Rapha e Joca discutem 7 armadilhas sobre Vitamina B12! 1. Nem toda anemia macrocítica é deficiência de B12 2. B12 pode causar manifestações além da anemia 3. Qual é o valor de corte normal de B12? 4. Não é apenas baixa ingestão de B12 que causa deficiência de B12 5. Como repor B12, via oral ou IM/EV? 6. Qual é a dose ideal de B12? 7. O que causa B12 alta? Referências: 1. Uptodate. Fevereiro 2022.Causes and pathophysiology of vitamin B12 and folate deficiencies. Robert T Means, Kathleen M Fairfield, Kathleen J Motil, Jennifer S Tirnauer. 2. UPTODATE Fev 2022. Macrocytosis/Macrocytic anemia. Robert A Brodsky, William C Mentzer, Jennifer S Tirnauer. 3. Uptodate Fev 2022. Clinical manifestations and diagnosis of vitamin B12 and folate deficiency. Robert T Means, Kathleen M Fairfield, William C Mentzer, Jennifer S Tirnauer, Lisa Kunins. 4. KAPTAN, Kürşad et al. Helicobacter pylori—is it a novel causative agent in vitamin B12 deficiency?. Archives of Internal Medicine, v. 160, n. 9, p. 1349-1353, 2000. 5. HU, Yanfeng et al. Vitamin B12 deficiency after gastrectomy for gastric cancer: an analysis of clinical patterns and risk factors. Annals of surgery, v. 258, n. 6, p. 970-975, 2013. 6. Devalia, V., Hamilton, M. S., & Molloy, A. M. (2014). Guidelines for the diagnosis and treatment of cobalamin and folate disorders. British Journal of Haematology, 166(4), 496–513. 7. Parks NE. Metabolic and Toxic Myelopathies. Continuum (Minneap Minn). 2021 Feb 1;27(1):143-162.

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TdC 129: Vitamina B12 - 7 Armadilhas!

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