15 results
Diagnosis and Management of Gastroesophageal Reflux Disease (GERD)

Definition
Presentation
Medical Management
Extraesophageal Symptoms
Long-Term PPI Issues
Diagnosis Algorithm
Refractory GERD
Surgical and Endoscopic
Diagnosis and Management ... Gastroesophageal Reflux Disease ... Extraesophageal Symptoms ... #Diagnosis #Management ... Treatment #Algorithm #Gastroenterology
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Gastroesophageal Reflux Disease ... GERD: Diagnosis ... GERD - Complications ... #diagnosis #management ... #Gastroenterology
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Differential Diaqnoses ... mevalonate kinase deficiency ... , Schnitzler) Complications ... Visceral, DIC, TMA ... #diagnosis #management
Celiac Disease Testing Algorithm
INDICATIONS FOR TESTING:  Nonspecific symptoms (iron-deficiency anemia, failure to thrive, fever, skin
: Nonspecific symptoms ... (iron-deficiency ... and DGP IgGa • EMA ... Testing #Algorithm #diagnosis ... #gastroenterology
Refeeding Syndrome Overview

What Is It?
	• Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
severe clinical complications ... due to chronic disease ... overload) Other Symptoms ... #Differential #Diagnosis ... #Pathophysiology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Obstruction with GERD ... melena - Other GI symptoms ... supportive care Complications ... common long term complication ... #management #gastroenterology
Fatigue and IBD Algorithm
 • 40-50% patients have fatigue despite clinical remission
 • Risk factors: BMI,
restricted diet/deficiency ... symptoms even if ... fatigue despite disease ... IBD #Algorithm #diagnosis ... #management
Vitamin B12 (Cobalamin) Deficiency
Etiology:
 • Vit B12 - aka cobalamin. Present in foods derived from animal
B12 (Cobalamin) Deficiency ... to IBD, celiac disease ... , alcohol use, symptoms ... - Elevated MMA ... #diagnosis #management
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Framework and Management ... HAGMA • Late complication ... of underlying disease ... #treatment #nephrology
Clinical Feature of Hypomagnesemia and Magnesium Deficiency
 • Electrolyte Disturbance: Hypokalemia, Hypocalcemia
 • Neuromuscular and central
sensitivity • Complications ... Atherosclerotic vascular disease ... Hypomagnesemia #diagnosis ... #signs #symptoms ... #Treatment #management