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The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
consult - I-liner ... summary - Symptoms ... Focus on prior GI/Liver ... last meal - Treatment ... GregoryTBrennan #Liver
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
diagnosis and treatment ... suspected HH based on symptoms ... , elevated liver ... is >1,000 μg/L, liver ... A liver biopsy can
The goals of #COPD #treatment include recognizing the impact that both #symptoms and #exacerbations have on
goals of #COPD #treatment ... impact that both #symptoms ... have on patients’ lives ... for monitoring treatment
Syphilitic gummas in Tertiary syphilis
Tertiary syphilitic gummas may mimic basal cell carcinoma. The gummatous tumors are
Without treatment ... are no signs or symptoms ... blood vessels, liver
Suspected Celiac Disease - Diagnosis Algorithm

Celiac disease suspected:
 • Signs and symptoms of celiac disease
 •
• Signs and symptoms ... unresponsive to treatment ... • Elevated liver
Interstitial keratitis in Tertiary Syphilis

Interstitial keratitis, which is an inflammation of the cornea’s connective tissue elements,
Without treatment ... are no signs or symptoms ... blood vessels, liver
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
disease to acute liver ... - Symptoms of ... hepatocellular pattern of liver ... regarding need for treatment
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... • Underlying liver ... ) on room air Treatment ... hypertension • Liver ... resolution of symptoms
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
workup dictated by symptoms ... Consider: Spine, CNS, liver ... #candidiasis #treatment
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
prevalence - 1/2000 live ... births Symptoms ... arrest/death - Symptoms ... family history) Treatment