445 results
Colonoscopy Followup Intervals 
10 years: Normal colonoscopy, ≥ 20 HP < 10mm
7-10 years: 1-2 adenomas <
-10 years: 1-2 adenomas ... 3-5 years: 3-4 adenomas ... , 5-10 SSPs, Adenoma ... or SSP ≥ 10mm, Adenoma ... Followup #Intervals #gastroenterology
Polyp Incidence on Colonoscopy
Tubular adenoma - 47.2%
Hyperplastic polyp - 16.0%
Tubulovillous adenoma - 17.6%
Normal - 5.6%
Inflammatory polyp
Colonoscopy Tubular adenoma ... Tubulovillous adenoma ... Traditional serrated adenoma ... 0.4% Villous adenoma ... differential #diagnosis #gastroenterology
Gastric Epithelial Polyps - Evaluation and Management 
Hyperplastic Polyps
Fundic gland polyps (FGP)
Gastric Adenomas
Gastric Neuroendocrine Tumours (NET)
Hamartomatous
(FGP) Gastric Adenomas ... diagnosis #Management #gastroenterology
Serrated Polyps
Hyperplastic polyps (HPs):
 • Prevalence: 20-30%
 • Size: Usually small or diminutive (s 5mm)
 •
Traditional serrated adenomas ... #colonoscopy #gastroenterology
Adenomatous Polyposis Syndromes:  Familial Adenomatous Polyposis (FAP), Attenuated FAP (AFAP), MUTYH associated polyposis (MAP)
✓ Genetic
10 cumulative adenoma ... synchronous colorectal adenomas ... mostly tubular adenoma ... Dominant - 10-100 adenomas ... diagnosis #management #gastroenterology
Melanosis coli on Colonoscopy
 - Benign finding on colonoscopy
 - Ask about senna (anthranoid) use
: TI ulcers, ↑ adenomas ... Colonoscopy #clinical #gastroenterology
Strategies to Improve Quality of Screening and Surveillance Colonoscopy - AGA Guidelines

1. Adequate bowel preparation.
2. Use
Provide feedback on adenoma ... Goal adenoma detection ... Guidelines #management #gastroenterology
Cold Snare Polypectomy
When Should I Use Cold Snare Polypectomy?
 - Cold snare polypectomy should be used
dysplasia and adenomas ... #Polypectomy #gastroenterology
Pituitary Mass Effects - Pathogenesis and Clinical Findings
 • Pituitary turnors are almost always a benign
always a benign adenoma ... Pituitary adenomas ... Symptomatic pituitary adenomas ... Go Look For The Adenoma
Hypercortisolism (Cushing syndrome) - Simplified Differential Diagnosis Algorithm
Exogenous (ACTH-independent)
Endogenous
 • ACTH-dependent:
    - ACTH-secreting
ACTH-secreting pituitary adenoma ... - Adrenal adenoma