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gastroenterology management gibleed lgib lower cancer colorectal diagnosis screening testing tests bleed dermatology dress gastrointestinal gi hamartomatous indications perioperative polyposis
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
bleeding/obstructing ... + CRC + Gastric ... the colon, or FHx ... bleeding/obstructing ... throughout colon
Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based tests: • FIT: 79% sensitivity, 94% specificity for CRC
visualization: • Colonoscopy ... lesions or SSLs • Colon ... specificity for polyps ... Screening #Tests #comparison ... #table #management
ACA Colorectal Cancer Screening Guidelines When to Screen? When to Stop? Family History Performance Characteristics for Colorectal Cancer Screening Tests Stool/blood-based
visualization: • Colonoscopy ... lesions or SSLs • Colon ... specificity for polyps ... Indications #Tests #comparison ... #table #management
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... hematochezia if the bleeding ... lavage - BUN/Cr ... intestines or ascending colon ... Lower #GIBleed #comparison
DRESS Syndrome vs SJS/TEN DRESS • Latency: 2-8 weeks • Rash: Morbilliform • Mucosal involvement: 50% have
with erosions • CBC ... involvement with bleeding ... more sites • CBC ... Syndrome #SJS #TEN #comparison ... #table #dermatology
Lower GI Bleed - Management Algorithm Suspected lower GI bleeding (LGIB): • Hematochezia • Melena +
Bleed - Management Algorithm ... Suspected lower GI bleeding ... Melena + right colon ... upper GI bleed) vs Stable ... GIBleed #management #Algorithm
Algorithm for the management of patients presenting with acute Lower GI Bleed High-risk patients Multiple high-risk clinical features.a
Algorithm for the ... symptorns of ongoing bleeding ... for unprepped colonoscopy ... hernodynamically stable ... , no ongoing bleeding
Bleeding Risk for Various Invasive/Surgical Procedures Low Risk: • Dental extractions (1 or 2 teeth), endodontic (root
Bleeding Risk for ... Gastroscopy or colonoscopy ... hernia repair, colon ... Gastroscopy or colonoscopy ... Perioperative #Procedures #Table
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