10 results
Helpful Clues for Distinguishing Upper vs. Lower GI Bleeding
Upper GI Bleed (proximal to ligament of Treitz):
Lower GI Bleeding ... lavage - BUN/Cr ... intestines or ascending colon ... #GIBleed #comparison ... versus #diagnosis #gastroenterology
Lower GI Bleed - Management Algorithm

Suspected lower GI bleeding (LGIB):
 • Hematochezia 
 • Melena +
Lower GI Bleed - ... Management Algorithm ... Melena + right colon ... LGIB #GIBleed #management ... gastrointestinal #gastroenterology
Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based tests:
 • FIT: 79% sensitivity, 94% specificity for CRC
lesions or SSLs • Colon ... Colorectal #Cancer #colon ... Screening #Tests #comparison ... #table #management ... #gastroenterology
Stool / Poop Color - What it may mean
 • Brown: In general, healthy stool is
Stool / Poop Color ... The brown color ... Bleeding in the lower ... #Differential # ... diagnosis #gastroenterology
ACA Colorectal Cancer Screening Guidelines

When to Screen?
When to Stop?
Family History

Performance Characteristics for Colorectal Cancer Screening Tests
Stool/blood-based
lesions or SSLs • Colon ... Colorectal #Cancer #colon ... Indications #Tests #comparison ... #table #management ... #gastroenterology
Hamartomatous Polyposis Syndromes - Peutz-Jeghers Syndrome (PJS), Juvenile Polyposis Syndrome (JPS), Cowden Syndrome (CS), Cronkhite-Canada (CC),
Juvenile Polyps + CRC ... 95%, throughout colon ... Likely risk of CRC ... Syndromes #diagnosis #management ... #gastroenterology
SIADH Treatment Options
1. Treat underlying cause of SIADH: Pain, Primary lung pathology, Post-operative phenomenon, Medications, Basically
PO TID • With lower ... bacteria in the colon ... NS • Give 250 cc ... SatyaPatelMD #SIADH #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Marantic (NTBE) Differential ... Criteria • ↑ ESR, CRP ... Regurgitation • Colon ... Endocarditis #diagnosis #management
Colorectal Cancer screening in ulcerative colitis per new UC guidelines
- Colonoscopy is the recommended method for
Colorectal #Cancer #CRC ... #Colon #Screening ... #PrimaryCare #Gastroenterology ... #Management #Colonoscopy
Polymyalgia Rheumatica (PMR) Diagnosis and Management Summary

WHAT?
 • Polymyalgia rheumatica (PMR) is a common systemic inflammatory
Diagnosis and Management ... C-reactive protein (CRP ... normal and can help differentiate ... progressively lower ... PMR #Diagnosis #Management