12 results
Lactic Acidosis - Overview and Pathophysiology
Lactic acid is an endogenous substrate for gluconeogenesis, that is constantly
Lactic Acidosis ... Lactic acid is an endogenous ... with exercise/activity ... of underlying disease ... ) Lactic Acidosis
Lactic Acidosis - Classification and Differential Diagnosis
Type A Lactic Acidosis: Inadequate Oxygen Delivery
 • Anaerobic muscular
Lactic Acidosis ... Type A Lactic Acidosis ... Anaerobic muscular activity ... with underlying disease ... failure, Short bowel
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... ↓ ↓ Metabolic Acidosis ... D-lactate (short bowel ... restrictive lung disease ... #AcidBase #disorders
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Intolerance • Celiac Disease ... obstruction (CIPO) Disorders ... • Irritable Bowel ... Algorithm #Treatment #gastroenterology
Ketosis Disorders
Ketone bodies are a normal metabolic energy source. Excessive unregulated production of ketones, often accompanied
Ketosis Disorders ... by an anion gap acidosis ... seen in several disease ... pt will produce endogenous ... marked anion gap acidosis
Irritable Bowel Syndrome (IBS) - Diagnosis and Workup Summary
Use a positive diagnostic strategy with minimal testing.
Irritable Bowel ... Rule out celiac disease ... disease w/ fecal ... Pelvic Floor Disorder ... Diagnosis #workup #gastroenterology
Thiopurine De-escalation and IBD - Management Algorithm
IBD Patient on Thiopurine Interested in Discontinuing Thiopurine
Assess Disease Activity:
Thiopurine Assess Disease ... Activity: Colonoscopy ... +/- EGD, Small Bowel ... Disease → Optimize ... algorithm #management #gastroenterology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
) • Endocrine disorders ... small and large bowel ... extremity edema, active ... activity • C3 ... CRP normal, ESR active
Causes of a low fecal elastase
Abnormal pancreatic imaging:
Chronic pancreatitis, Pancreatic tumours including cystic disease, Pancreatic resection,
diarrhoea, Irritable bowel ... , Inflammatory bowel ... bowel bacterial ... Rheumatological disorders ... diagnosis #causes #gastroenterology
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
bolus to the small bowel ... after RYGB • Disorder ... Liver Disease in ... TypicallySilent via Emory Gastroenterology ... gastric #bypass #gastroenterology