9 results
Ischemic Colitis on Colonoscopy
35yo male, PR bleeding, mucoid stool, tennesmus, abdominal cramping pain, low grade fever,
Ischemic Colitis ... consistent with Ischemic ... Fwl Tan #Ischemic ... #Colitis #Colonoscopy ... #endoscopy #gastroenterology
Ischemic Colitis on Colonoscopy
80 F with Afib with acute abdominal pain and syncope.
Ischemic colitis (full thickness)
Ischemic Colitis ... with Afib with acute ... Ischemic colitis ... DrBloodandGuts #Ischemic ... #Colitis #Colonoscopy
IBD Mimics
Infectious - Always RULE OUT infection (CMV, C. diff esp.) obtain travel & exposures history:
IBD Mimics Infectious ... immuno-therapy), Ischemic ... (irritable bowel ... #inflammatroy #bowel ... differential #diagnosis #gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Epigastric abdominal pain (90%, characteristically
Acute Pancreatitis ... Familial, Infectious, Ischemia ... (necrosis, biliary ... gemfibrozil 600 bid ... Management #Treatment #Gastroenterology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework

Many patients with chronic abdominal pain have had prior
potentially be an acute ... Family history of IBD ... Chronic mesenteric ischemia ... • Mesenteric ischemia ... Differential #Diagnosis #gastroenterology
Antibiotic Prophylaxis for Endoscopy (ASGE 2015) 

Give Antibiotics: 
 - PEG tube placement (or PEG-J)
Prophylaxis for Endoscopy ... Peritoneal dialysis & colonoscopy ... cardiac devices (ICD ... GI tract) - Biliary ... #Indications #Gastroenterology
Occult and Lower Gastronintestinal Bleed - Differential Diagnosis Algorithm

Occult (Stool + Occult blood and/or iron deficiency
colon or small bowel ... • Other: small bowel ... , asymptomatic IBD ... Diverticular bleed, • Acute ... colitis (ischemia
Diarrhea with Normal Colonoscopy
 • Colonic: Bile acid malabsorption, Microscopic colitis, Overflow diarrhoea, Missed pathology
 •
Diarrhea with Normal Colonoscopy ... malabsorption, Microscopic colitis ... coeliac), Short bowel ... syndrome, Ischaemia ... 19) • Others: IBS-D
Causes of Small Bowel Ulceration
The diagnosis of IBD can’t be made or excluded by biopsies alone
Causes of Small Bowel ... The diagnosis of IBD ... requires clinical and endoscopic ... ) • Vascular: Ischaemia ... #differential #gastroenterology