Schilling Test for Vitamin B12 (Cobalamin) Deficiency - MADE EASY

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  • Опубликовано: 29 окт 2024

Комментарии • 81

  • @Keshet59
    @Keshet59 12 лет назад +5

    Hello! I'm a pediatrician in practice, not actually studying for a test, just reviewing, in this case, vitamin B12 deficiency. I needed to find a concise but clear explanation of the Schilling test, which I remember in a muddled way from medical school. This was elegantly done and very helpful! I periodically review basic science, because so much is always changing, so I will be looking for more of your videos. Great work!

  • @DailyMedEd
    @DailyMedEd  11 лет назад +1

    Hi,
    Thank you for your kind words! I'm very glad this was helpful to you :)

  • @spilledonpaper1196
    @spilledonpaper1196 6 лет назад

    makes so much more sense now, with the diagnostic approach

  • @DailyMedEd
    @DailyMedEd  11 лет назад +2

    I'm glad this was helpful to you! Good luck on step 1 :)

  • @marilynschilling4143
    @marilynschilling4143 8 лет назад +3

    Enjoyed your clear and concise explanation of my husband's test....and understand it better!Mrs. Robert F.Schilling

    • @b-bnt
      @b-bnt 3 года назад

      This is hilarious

  • @pepper419
    @pepper419 2 года назад +1

    Thank you, very easy to understand, even for a patient.

  • @hizbullahkhandawar4426
    @hizbullahkhandawar4426 10 лет назад +3

    thank you boss.. you made it very simple.. Would appreciate if you could put a powerpoint presentation which we could download as well.

  • @spilledonpaper1196
    @spilledonpaper1196 6 лет назад

    its literally the end of the academic year, and im understanding this now, thanks to ur video....... great work sir!

  • @andrewbeneke4916
    @andrewbeneke4916 11 лет назад +9

    Great lecture - helped me a lot!

  • @DailyMedEd
    @DailyMedEd  12 лет назад

    You would give Intramuscular B12 only in the beginning since it takes years for B12 to be depleted from you body, therefore B12 receptors are going to be fully saturated after the first injection and there is no need for more B12 injection.

  • @DailyMedEd
    @DailyMedEd  11 лет назад

    Yes you are correct! Since vitamin B12 takes years to be depleted from your body, all the B12 receptors will remain saturated after the 1st IM unlabeled vitamin B12. There is no need to give another IM vitamin B12.

  • @LACJrDDS
    @LACJrDDS 9 лет назад +2

    great video, i wish my past teachers could have made it look this easy

    • @DailyMedEd
      @DailyMedEd  9 лет назад

      Thank you very much. Glad it was helpful to you.
      All the best

  • @DailyMedEd
    @DailyMedEd  12 лет назад

    You're Welcome! I'm glad it did

  • @TrueFoundingFathers
    @TrueFoundingFathers 11 лет назад

    Oh my gosh dude. Thanks so much!!! Your video was a big help. Made everything so clear for me and helped me tie things together! Cant wait to see your other videos!

  • @edyblazer
    @edyblazer 11 лет назад

    This was an Awesome Video!
    this explanation was so explicit, i think i will be able to explain to the class tomorrow precisely how the schilling test works..Thank you.

  • @mst3ksanta
    @mst3ksanta 6 лет назад

    This really is such a simple test though. Give the body what it may be lacking in absorbing the vitamin. If there's an increase it's the part of the body that produces those things that is the cause.

  • @mmh3999
    @mmh3999 11 лет назад

    Thank you so much for such thorough explanation. It was helpful indeed. If get a question on the step 1 on this concept, you get the credit!

  • @drmanish9114
    @drmanish9114 5 лет назад +2

    Thank you so much........very well elaborated

  • @ileanalopezhernandez4990
    @ileanalopezhernandez4990 8 лет назад

    Excellent, thanks from Dominican Republic!

  • @medaddict2145
    @medaddict2145 11 лет назад

    Great thank you so much! i always had a difficult time understanding this till now.

  • @zirkov1358
    @zirkov1358 6 лет назад

    This is very helpful for my review. Thank you for the explanation in a simplified way.😊

  • @DailyMedEd
    @DailyMedEd  12 лет назад

    B12 is only absorbed at the terminal ilium, so any pathological event such as Crohn's disease is going to prevent its absorption at the terminal Ilium causing B12 deficiency.

  • @mellyxX36
    @mellyxX36 7 лет назад +1

    thank you for this video!! immediately made more sense!

  • @josepharevalo384
    @josepharevalo384 9 лет назад +5

    Great Video, it was very helpful!!!

    • @DailyMedEd
      @DailyMedEd  9 лет назад

      +Joseph Arévalo, We're glad you found this video tutorial helpful. Please check out our other videos as well and feel free to share them with others :)

  • @johnnyyammine77
    @johnnyyammine77 6 лет назад

    Thanks from Brazil.. very helpful

  • @doccy-lucky
    @doccy-lucky 2 года назад

    U explained so nicely .Ty

  • @monyetsanerubygift9003
    @monyetsanerubygift9003 10 лет назад +4

    thanx it helped me understand better!

  • @JTiwana23
    @JTiwana23 11 лет назад

    Thanks, such a great, clear explanation!!

  • @thachnamxanh
    @thachnamxanh 8 лет назад

    Thank you, your lecture is awesome.

  • @doreenstanley1507
    @doreenstanley1507 9 лет назад +1

    I have tension/hangover like headaches everyday for a year and a half now. I've seen multiple doctors (and specialist) with no answers; 1)should I request a Shilling test? 2) Why do doctors prescribe meds without testing? 3) will I ever get better :(

  • @anandhigandotra4142
    @anandhigandotra4142 3 года назад +1

    Thanku so much for the video❤

  • @ryanbuzon7279
    @ryanbuzon7279 7 лет назад

    well explained, great job!

  • @jameswelle8527
    @jameswelle8527 10 лет назад +2

    do you give an IM b12 shot with each step?
    It seems like you would have to to make sure that the radiolabled b12 ends up in the urine

  • @nater88dawg
    @nater88dawg 6 лет назад

    Great video, thanks!

  • @abiotlemma9771
    @abiotlemma9771 11 лет назад

    thanks, great explanation!!

  • @iluvmaruku
    @iluvmaruku 11 лет назад

    Thanks for the informative video! Is dicopac test same as schiling test and is it a conclusive test for B12 malabsorption/ pernicious anemia?

  • @alexcortes334
    @alexcortes334 8 лет назад +1

    great video!!, it help me a lot

  • @shubhangimishra6316
    @shubhangimishra6316 9 месяцев назад

    Best video...
    Thank you

  • @allansakilantv5820
    @allansakilantv5820 4 года назад +2

    Wow nice video

  • @sonapk1253
    @sonapk1253 5 лет назад +2

    It s really good tnx

  • @jian5
    @jian5 11 лет назад

    Thank you for this!

  • @AlAjmi97336
    @AlAjmi97336 10 лет назад +3

    thanks

  • @LilaRizzi
    @LilaRizzi 12 лет назад

    Thanks, really helped me!

  • @rosaliepeck9623
    @rosaliepeck9623 5 лет назад

    what happens if the salivary glands are blocked/deficient causing dry mouth and the R factor doesn't bind with the B-12 in the first place?

  • @drdcs15
    @drdcs15 12 лет назад

    That makes sense, thanks a lot!!

  • @jgcdealmeida
    @jgcdealmeida 6 лет назад

    Thank you very much!

  • @latindude8
    @latindude8 9 лет назад

    if the pancreatic enzyme test comes back low, would you then do endoscopy of the duodenum?

  • @pushpagurung4055
    @pushpagurung4055 6 лет назад

    Thank u so much for this video

  • @drdcs15
    @drdcs15 12 лет назад

    are you giving intramuscular b12 during each step in order to saturate receptors each time and allow for excretion?

  • @matinsoeizi4404
    @matinsoeizi4404 7 лет назад

    does increase or decrease refer to urine or serum? why would you see increased excretion in urine if you give labeled B12+ IF to someone with pernicious anemia?

  • @HusnaNasrin-n4b
    @HusnaNasrin-n4b 9 месяцев назад

    Thankyou somch for ths video😭

  • @mikelandrio3975
    @mikelandrio3975 8 лет назад +1

    thank's that was vary helpfull*****thank's

  • @GoGoKatrina
    @GoGoKatrina 11 лет назад

    you have really nice writing. lol. big thanks for the video from a nclex studier! :)

  • @0bama12
    @0bama12 3 года назад

    it saturates cobalamin or "receptors'?...small details

  • @106bagishrabha6
    @106bagishrabha6 3 года назад

    Thank you..

  • @cabdalecabdi1615
    @cabdalecabdi1615 3 года назад +1

    Thank u

  • @studybuddies6578
    @studybuddies6578 6 лет назад

    thank you very much

  • @zeusvalentine
    @zeusvalentine 11 лет назад

    would B12 methylcobalamine Sublingual tablets be the best way to address a deficiency without doing the Schilling test?

  • @MayMayboris
    @MayMayboris 11 лет назад

    Hi! This is great but i'm confused about step 2. Do you assume that you liver is still saturated. So then if it is high in the urines it means that the problem is a lack of intrinsic factors. If it's low in the urines it means that we go for step 3. I'm just confused because I'm not sure we assume that the liver is saturated. If it's not I really don't get it.

  • @vinu2304
    @vinu2304 8 лет назад

    very nice video

  • @elverchimbawe1427
    @elverchimbawe1427 7 лет назад

    exelente gracias

  • @fakhrulislamemran9941
    @fakhrulislamemran9941 6 лет назад

    thank you

  • @kristalee1683
    @kristalee1683 11 лет назад

    Hi i have a question from my exam.
    Pernicious anemia patient has an order of schilling test, 24hrs urine collection. The doctor ordered urinalysis, wat shud you do?
    a. collect urine in urinary catheter
    b. get urine sample in the 24hr urine collection bottle
    c.wait until you finished the 24hr urine collection to get the urine sample

  • @mostafazizo776
    @mostafazizo776 11 лет назад

    More Simply ....
    1- give B12 intramuscular ... so now transcopalamine ( B12 carrier ) is blocked if u give more B12 will not bind
    2- give radioactive labelled B12 orally ...normal person secrets more than 25% in urine over 24 hours
    3- if there is a defect is secretion >>repeat the test after giving intrinsic factor .. if improved = intrinsic factor deficiency if not there is no response = small intst. disease
    hope to be helpful :)

    • @Markboyy1984
      @Markboyy1984 3 года назад

      Excretes 25% of B12 in only 24hrs? That’s not true, I have an overload of B12 would be good if this was true but u said is completely false

  • @AsaadSufyani
    @AsaadSufyani 12 лет назад

    Thanks a lot. Finally I got it ;)

  • @MayMayboris
    @MayMayboris 11 лет назад

    could type 1 and or type 2 diabetes contribute to a b12 deficiency related to pancreatic deficiency

  • @mst3ksanta
    @mst3ksanta 6 лет назад

    do we still use this test?

  • @efremayalew4483
    @efremayalew4483 7 лет назад

    Tx nice video

  • @mandykal
    @mandykal 3 года назад

    8 years later... writing so small. Walmart sells a large board $17.00.

  • @asisshtt
    @asisshtt 11 лет назад

    helpfulllll

  • @juanafarinelli9138
    @juanafarinelli9138 7 лет назад

    genio !

  • @dodongpag-ileon5835
    @dodongpag-ileon5835 5 лет назад

    Is getting fat?

  • @atmanand5802
    @atmanand5802 Год назад

    💖

  • @vedithabanduwardana6149
    @vedithabanduwardana6149 11 лет назад

    Thank you!

  • @naciimamaxameds8280
    @naciimamaxameds8280 6 лет назад

    Thank u

  • @ryan93c11
    @ryan93c11 7 лет назад

    Thank you!