15 results
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
• Vomiting • Anemia ... Impedance testing Esophageal ... Alarm features: • Anemia ... Barrett esophagus or esophageal ... diagnosis #management #Gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
Acute Esophageal ... no NGT, mlVF, PPI ... KBrag_MD #Acute #Esophageal ... diagnosis #management #gastroenterology
Calculating a Reticulocyte Index (RI)
Reticulocyte Index = Absolute Reticulocyte Count / Maturation Correction
Absolute Reticulocyte Count =
Reticulocyte #Index #RI #RPI ... #hematology #diagnosis ... #anemia
Anemia Diagnostic Algorithm

Mean corpuscular (cell) volume (MCV): Average RBC size. Under 80 = microcytic. Between 80-95
Anemia Diagnostic ... erythropoietin (EPO ... e.g. iron), low EPO ... for degree of anemia ... Diagnosis #Workup #Hematology
Eosinophilic Gastroenteritis: Treatment Options Based on Severity of the Disease
Mild:
 • Trial of PPI
 • Trial
: • Trial of PPI ... : • Trial of PPI ... : • Trial of PPI ... Concern for HES: • Hematology ... Treatment #management #gastroenterology
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
Esophageal Necrosis ... state) predisposes esophageal ... 48 hours - IV PPI ... prevent further esophageal ... diagnosis #management #gastroenterology
Iron Deficiency Anemia - Differential Diagnosis Algorithm

Labs: Ferritin, iron, transferrin, TIBC, TSAT, sTfR

 • Blood loss:
Iron Deficiency Anemia ... Achlorhydria: PPI ... Iron #Deficiency #Anemia ... Algorithm #ferritin #hematology
Aplastic Anemia - Overview

Who?
• M = F
• 3 peaks:	1) Childhood	2) 15-25 years	3) >60 years

What?
• Aplastic anemia
Aplastic Anemia ... • Aplastic anemia ... Immune Aplastic Anemia ... Reticulocyte index < 2 • EPO ... #oncology #hematology
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
calling a consult HPI ... Calling #Referral #Hepatology ... #Gastroenterology
Commonly Observed Laboratory Findings in Hepatic / Liver Failure
 - Elevated conjugated and unconjugated bilirubin -
deficiency - Anemia ... leads to chronic anemia ... blood loss from esophageal ... LiverFailure #Hepatic #Hepatology