76 results
Percutaneous Dilational Tracheostomy - Procedure Instructions Checklist
Tracheostomy is to establish a definitive surgical opening into the
Percutaneous Dilational ... #Percutaneous #Dilational
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
Formation - Dilutional
Achalasia on Endoscopy - Retroflexion View

53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then
Nissen (90’s), ~15 dilations ... ’s), pneumatic dilation
Achalasia on Endoscopy
53yo male referred for achalasia. Previous tx: transthoracic myotomy (80’s), then take down of
Nissen (90’s), ~15 dilations ... ’s), pneumatic dilation
Anisocoria - Pupillary Defects - Differential Diagnosis Algorithm

Physiological - Simple Anisocoria ( <O.5mm)
 - Anisocoria equal
Factitious IMPAIRED DILATION ... Preganglionic - No dilation ... Postganglionic - Dilation
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
look for ductal dilation ... No dilation = intrahepatic
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
) - Pneumatic Dilation
Landolfi’s Sign on Physical Exam

A 73-year-old man presented with shortness of breath. On ocular exam, pupil
ocular exam, pupil dilation ... and diastolic dilation
Esophageal Crohn's Disease Management Algorithm

Assess for Active Symptoms and for Stricturing/Fistulizing Disease
Stricturing DX:
 • Bx r/o
• Serial Dilation ... / Self-dilation
Causes of False Elevation and Reduction in HbA1c

== False Elevation ==
Decreased RBC turnover 
• Iron, B-12,
Vitamin C & E Dilutional