11 results
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult Colonoscopy ... Private practice setting ... 1) Redundant Colon ... #Summary #Endoscopy ... diagnosis #management #algorithm
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
and Management Algorithm ... Microbiologic-Testing ... Colonoscopy +/- ... *Especially if concern ... Workup #Management #Algorithm
Chronic Diarrhea - Differential Diagnosis Algorithm
Steatorrhea
 - Maldigestive
    • Pancreatic Insufficiency
 - Primary
Differential Diagnosis Algorithm ... Adenoma • Colon ... Cancer • Microscopic ... albumin, ESR, endoscopy ... Differential #Diagnosis #Algorithm
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Bleed - Management Algorithm ... Melena + right colon ... Polypectomy, Colorectal cancer ... upper GI bleed) vs Stable ... GIBleed #management #Algorithm
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
for Colorectal Cancer ... visualization: • Colonoscopy ... #colon #Screening ... Tests #comparison #table ... gastroenterology #CRC #Testing
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 ... #colon #Screening ... Tests #comparison #table ... gastroenterology #CRC #Testing
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Stable patients ... risk (<1%): - Endoscopic ... surgery Stress Testing ... preoperative stress testing
How to Approach Small Polyps in Colon
Despite their appearance, small colon polyps can pose unique challenges
Small Polyps in Colon ... appearance, small colon ... challenges to endoscopic ... of colorectal cancer ... small #polyps #colonoscopy
Bleeding Risk for Various Invasive/Surgical Procedures
Low Risk:
 • Dental extractions (1 or 2 teeth), endodontic (root
Gastroscopy or colonoscopy ... hernia repair, colon ... Gastroscopy or colonoscopy ... • Extensive cancer ... Perioperative #Procedures #Table
Nuclear myocardial perfusion imaging (MPI) may be performed by either single-photon emission CT (SPECT) or positron
echocardiography, MPI stress testing ... Color-coded images ... Pharmacologic stress testing ... and there is a concern ... candidates for testing