9 results
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Assess Disease Activity ... : Colonoscopy +/ ... - EGD, Small Bowel ... FCP, CRP, ESR • Active ... algorithm #management #gastroenterology
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Hemorrhage Ia - Active ... Risk 60-100% Ib ... - Active Oozing ... diagnosis #endoscopy #gastroenterology ... #egd
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Colonoscopy +/- ... EGD *Especially ... PTLD, GVHD or IBD ... Transplant #diagnosis #differential
IBD Colonoscopy Surveillance 
LOW RISK - Follow-up Colonoscopy at 3 years:
 • Quiescent disease , Endoscopic
IBD Colonoscopy ... RISK - Follow-up Colonoscopy ... years: • Mild active ... degree relative #IBD ... Guidelines #management #gastroenterology
Helicobacter Pylori (H. pylori) Infection - Diagnosis and Management - GrepMed Handbook
Presentation: Dyspepsia / Peptic Ulcer
(IgG) - cannot differentiate ... (or doxy 100mg bid ... (or doxy 100mg bid ... Test or repeat EGD ... quadrupletherapy #gastroenterology
Elevated Amylase (Hyperamylasemia)- Differential Diagnosis Algorithm
Pancreatic causes:
 - Pancreatic cancer
 - Complications pancreatitis: eg pseudocyst
 -
Hyperamylasemia)- Differential ... pancreatitis: eg ... ranitidine, sulindac - Active ... IBID - Renal failure ... Hyperamylasemia #Differential
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... the setting of active ... Prophylaxis #Endoscopy #EGD ... #Indications #Gastroenterology
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
The diagnosis of IBD ... Eosinophilic, CVID, Hyper IgD ... Ulceration #diagnosis #differential ... #gastroenterology
Fungal Biomarkers: Beta-D-Glucan and Aspergillus Galactomannan
Beta-D-Glucan:
 • Polysaccharide cell wall component of many fungi
 • Pathogens:
BAL GM does not differentiate ... admin of mold-active ... SOT recipients, CGD ... setting of GVHD) ID