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Clinical Practice Guidelines

  • Anaemia
    www.rch.org.au/clinicalguide/guideline_index/Anaemia/
    or neutropenia, may indicate malignancy or an infiltrative disorder Severe vitamin B12 or folate deficiency Need …, chloramphenicol, sulfonamides) Viral infection Severe nutritional deficiencies (vitamin B12 or folate deficiency … (regression, seizures, irritability, poor feeding) Vitamin B12 deficiency may be seen in exclusively …
  • Micronutrient deficiency
    www.rch.org.au/clinicalguide/guideline_index/Micronutrient_deficiency/
    infants of mothers with Vitamin B12 deficiency Vitamin C (Ascorbic acid) Scurvy: skeletal fractures … treatment Exclude Vitamin B12 deficiency prior to dosing Supplementation can reduce serum levels of some …, lentils and legumes, green vegetables, root vegetables Vitamin B12 (Cobalamin) Subclinical deficiency 100 …
  • Nitrous Oxide Misuse
    www.rch.org.au/clinicalguide/guideline_index/Nitrous_Oxide_Misuse/
    exposure impedes vitamin B12 function, leading to neurological dysfunction and rarely myelosuppression … cord Measured vitamin B12 may be normal and does not reflect ‘functional vitamin B12’ concentration … Discontinuation of N 2 O and administration of intramuscular vitamin B12 and oral methionine are the mainstays …
  • Immigrant health - acute presentations
    www.rch.org.au/clinicalguide/guideline_index/Immigrant_Health_acute_presentations/
    , stridor, seizures Vitamin D deficiency (low calcium more likely in children <12 months) Examine for … Consider B12 deficiency Helicobacter pylori gastritis Other gastrointestinal infections Dental disease … and nutrition Immigrant health - Iron deficiency Immigrant health - B12 Disability (and developmental …
  • Management of Eating Disorders in the Emergency Department
    www.rch.org.au/clinicalguide/guideline_index/Management_of_Eating_Disorders_in_the_Emergency_Department/
    admission (if not done in the last 3 months) including ferritin, vitamin B12, red cell folate, vitamin D … patient Mental state examination Micronutrient deficiency This guideline can be used for children … and zinc (see Micronutrient deficiency ) Urinalysis (if concern for T1DM, specific gravity, ketosis), βhCG …