386 results
Chronic Diarrhea - Workup
Osmotic:
 • Consider food diary and trial avoiding certain foods or meds, Consider
meds, Consider diagnostic ... intolerance suspected, Colonoscopy ... performed, may show melanosis ... : • Consider diagnostic ... EGD +/- ERCP +/- colonoscopy
Melanosis coli on Colonoscopy
 - Benign finding on colonoscopy
 - Ask about senna (anthranoid) use
Melanosis coli on ... Colonoscopy - ... Benign finding on colonoscopy ... , ↑ adenomas #Melanosis ... #coli #Colonoscopy
Approaching a Difficult Colonoscopy - Scoping Summary
Risk factors for failed C-scope:
 • Incr Age
 • Female
Approaching a Difficult Colonoscopy ... rate • Fewer position ... Water assisted colonoscopy ... time • Less position ... Summary #Endoscopy #diagnosis
Peutz–Jeghers Syndrome
An autosomal dominant genetic disorder characterized by the development of benign hamartomatous polyps in the
and oral mucosa (melanosis ... Jeghers #Syndrome #diagnosis
Primary sclerosing cholangitis (PSC) - Malignancy Screening and Surveillance Recommendations 

Cholangiocarcinoma 
 - Annual US or
CRC - IBD - Colonoscopy ... @ diagnosis - ... Annual surveillance colonoscopy ... Gastroenterology #Management #Diagnosis
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... Differential: Melanosis ... black #esophagus #diagnosis
Diagnostic Algorithm for Dizziness and Vertigo
Peripheral Vertigo:
 • Attacks: Sudden, severe, can last anywhere from seconds
Diagnostic Algorithm ... worsen with head position ... Positive Hallpike ... Positive head impulse ... #differential #diagnosis
Types of Melanoma
Superficial Spreading
 • Most common form
 • Often develops in previously benign mole
 •
• 70% of all melanomas ... 10-15% of all melanomas ... • <5% of all melanomas ... Only 3% of all melanomas ... #differential #diagnosis
Jugular Venous Pressure Measurement
Examiner places the patient in a reclined position and puts the base of
in a reclined position ... Positive: JVP > ... #Diagnosis #PhysicalExam
Differentiating Benign Paroxysmal Positional Vertigo (BPPV) From Vestibular Neuritis-Labyrinthitis
BENIGN PAROXYSMAL POSITIONAL VERTIGO
 • Age: More common
Benign Paroxysmal Positional ... BENIGN PAROXYSMAL POSITIONAL ... Hallpike test: Positive ... impulse test: Positive ... Labyrinthitis #diagnosis