29 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 ... algorithm #management #gastroenterology ... #indications
Colonoscopy showing a protruding vessel with active bleeding and normal surrounding mucosa suggestive of Dieulafoy's lesion.

#clinical
Colonoscopy showing ... protruding vessel with active ... clinical #diagnosis #Gastroenterology
Brisk Gastric Bleeding on Upper Endoscopy
87 year old female. Acute bleeding in stomach.  Dieulafoy’s Lesion
RodriguezParra_ #active ... Upper #Endoscopy #EGD ... #gastroenterology
Rigors And Bacteremia - Overview

• Rigors are a response to the release of cytokines and prostaglandins
hypothalamus → fever Indicators ... PATHOPHYSIOLOGY: → Exogenous ... pro-inflammatroy mediators (Endogenous ... Pyrogen) → Endogenous ... vasculature via: • Active
Forrest Classification of Upper GI Bleeding
Acute Hemorrhage
  Ia - Active Spurting, Re-bleeding Risk 60-100%
Hemorrhage Ia - Active ... 60-100% Ib - Active ... Lesions without Active ... diagnosis #endoscopy #gastroenterology ... #egd
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
GERD: Testing EGD ... indications → PPI ... symptom recurrence → EGD ... failure + negative EGD ... diagnosis #management #Gastroenterology
Diarrhea Workup and Management Algorithm in Transplant Patients
First Tier Microbiologic-Testing:
1. C. difficile PCR (Stool)
2. CMV qPCR
Adjust IS medications ... Colonoscopy +/- ... EGD *Especially
Gastroenterology Endoscopy Tools and Accessories - A Visual Catalog for Trainees and Young Gastroenterologists
Biopsy Forceps:
Gastroenterology ... of colonoscope ... Aguila @enrrikke #Gastroenterology ... #accessories #EGD ... #colonoscopy #devices
Management of Low Risk (Mild Severity) Crohns Disease 
Asymptomatic or Incidentally Discovered on Endoscopy 
 •
thereafter • Repeat colonoscopy ... Mild Disease Activity ... LowRisk #Mild #Gastroenterology
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
Stoma Indications ... Stoma Types: • End ... ileostomy • End ... Complications #diagnosis #gastroenterology