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EM Clerkship

Nutritional Emergencies

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 6 May 2018

⏱️ 10 minutes

🧾️ Download transcript

Summary

Consider In High Risk Patients Alcoholics GI disorders Eating disorders Starvation/poor diet Extremes of age Thiamine (B1) deficiency Causes damage to neurons and cardiac myocytes Manifestations Dry beriberi Neuropathy Paresthesias Wernicke’s encephalopathy Ophthalmoplegia Ataxia Altered mental status Korsakoff syndrome Ophthalmoplegia, ataxia, altered mental status PLUS Confabulation Memory loss Wet beriberi Heart failure from cardiac damage […]

Transcript

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0:00.0

Hello, men students. My name is Zach Golson and thank you for downloading this week's

0:07.0

episode of the EM Clerkship Podcast. What I want to talk about this week is nutrition. Not like how I have a

0:18.8

nutritious diet, which I definitely don't.

0:20.9

What I want to talk about are the disorders that we like never think about that really do affect people with bad nutrition.

0:30.0

Alcoholics, eating disorder patients, old people, poor people with GI disorders.

0:35.3

I have seen several of these cases during residency. They are out there,

0:40.0

especially with our patients. We probably should know more about this than anybody else. They are

0:45.1

dangerous. And when you reasonably put this in your differential, it makes you sound like you're

0:50.5

really thinking through stuff. I think it makes you sound like a good student.

0:55.2

Today, we are going to cover the royal family

0:58.7

of nutritional deficiencies.

1:01.6

And this family's name are the Bs, the B vitamins.

1:06.6

Sure, we know that iron deficiency can cause anemia

1:10.0

and vitamin D deficiency causes osteoporosis,

1:13.4

vitamin C causes scurvy, obvious, big players, primary care type stuff. But the players in

1:20.6

emergency medicine aren't those ones. They're the Bs. B1, B3, B9, B12. They're like the

1:27.4

Illuminati of nutritional disorders.

1:29.9

You know they're out there, but they're more widespread and more sneaky and more dangerous

1:34.2

than even you realize.

1:35.9

And that's what we're going to talk about today.

1:39.2

The top five nasty nutritional disorders.

1:44.6

Dry Berry Berry and Wernicke-Korsikov,

...

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