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
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
Achalasia Management Algorithm
 - Botulinum Injection
 - Pharmacotherapy (CCB/nitrates)
 - Pneumatic Dilation
 - Peroral Endoscopic Myotomy
) - Pneumatic 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